Active NPI
Holly Schaefer Robinson, LICSW
- Clinical Social Worker
- Dover, NH
National Provider Identifier
1780832576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1539
- Practice address
- 10 Members Way
Suite 302
Dover, NH 03820-5933 - Phone
- (603) 740-2307
- Fax
- (603) 609-6924
- NPI assigned
- Sep 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1539 | NH | Primary |
| Clinical Social Worker | 1041C0700X | LC14674 | ME |
Addresses
Primary practice location
10 Members Way
Suite 302
Dover, NH 03820-5933
Mailing address
789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3071942 | Medicaid | NH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1539 | NH | MD | Psychologist |
| LC14674 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Bay Mental Health Assoc Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1780832576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-740-2307",
"fax_number": "603-609-6924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MEMBERS WAY",
"address_2": "SUITE 302",
"city": "DOVER",
"state": "NH",
"postal_code": "038205933",
"telephone_number": "603-740-2307",
"fax_number": "603-609-6924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "HOLLY",
"middle_name": "SCHAEFER",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "1539",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC14674",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3071942",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.