Individual provider Active NPI

Robin Lynn James, LCSWR

  • Clinical Social Worker
  • Kerhonkson, NY
National Provider Identifier
1780740621
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0369021 Issued in NY
Practice address
100 Samsonville Rd
Kerhonkson, NY 12446-2651
Phone
(845) 430-8065
Fax
(845) 626-1155
NPI assigned
Dec 28, 2006
Last updated
Nov 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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 R0369021 NY Primary

Addresses

Primary practice location

100 Samsonville Rd
Kerhonkson, NY 12446-2651

Mailing address

135 Sportsman Rd
Napanoch, NY 12458-2302
Phone (845) 430-8065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050106000578 NY Practitioner - Clinical Social Worker 2163470188 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0369021NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Psychological Services, PC Clinical CurrentSince Feb 17, 2022 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Feb 17, 2022 Accepting new patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince May 13, 2023 Accepting new patients
Child & Family Guidance Center Addiction Services Inc Clinical CurrentSince May 1, 2025 Accepting new patients

Locations

1065 Smithtown Ave
Bohemia, NY 11716
Phone (631) 388-7616

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955

83 N Main St
Ellenville, NY 12428
Phone (845) 647-5400

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

106 Vineyard Ave
Highland, NY 12528
Phone (845) 691-9191

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1780740621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SPORTSMAN RD",
            "city": "NAPANOCH",
            "state": "NY",
            "postal_code": "124582302",
            "telephone_number": "845-430-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAMSONVILLE RD",
            "city": "KERHONKSON",
            "state": "NY",
            "postal_code": "124462651",
            "telephone_number": "845-430-8065",
            "fax_number": "845-626-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "ROBIN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0369021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerhonkson, NY

Sources for this page

Verify at the official NPI Registry.