Individual provider Active NPI

Robyn L Castillo Matthews

  • Clinical Social Worker
  • Roswell, GA
National Provider Identifier
1780084079
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MSW006058 Issued in GA
Practice address
10888 Crabapple Rd
Roswell, GA 30075-5850
Phone
(678) 966-0077
NPI assigned
Aug 25, 2014
Last updated
Oct 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MSW006058 GA Primary

Addresses

Primary practice location

10888 Crabapple Rd
Roswell, GA 30075-5850

Mailing address

22 Brighton CT
Cartersville, GA 30121-4262

Other identifiers 1

IdentifierTypeStateIssuer
MSW006058OtherGAMEDICAL SW LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1780084079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BRIGHTON CT",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301214262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10888 CRABAPPLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755850",
            "telephone_number": "678-966-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO MATTHEWS",
        "first_name": "ROBYN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW006058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL SW LICENSE",
            "identifier": "MSW006058",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.