Active NPI
Robert Santo Cline, LCSW
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1790014033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C008803
- Practice address
- 3010 Falstaff Rd
Raleigh, NC 27610-1813 - Phone
- (919) 962-1401
- Fax
- (919) 962-7373
- NPI assigned
- Dec 16, 2009
- Last updated
- Jul 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C008803 | NC | Primary |
Addresses
Primary practice location
3010 Falstaff Rd
Raleigh, NC 27610-1813
Mailing address
3010 Falstaff Rd
Raleigh, NC 27610-1813
Phone (919) 962-1401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00079874 | Medicaid | NY |
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 |
|---|---|---|---|
| C008803 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Pain & Spine Specialists, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine Physician
- Chester, VA
- NPI 1275834814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436140800000",
"number": "1790014033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 FALSTAFF RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101813",
"telephone_number": "919-962-1401",
"fax_number": "919-962-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 FALSTAFF RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101813",
"telephone_number": "919-962-1401",
"fax_number": "919-962-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE",
"first_name": "ROBERT",
"middle_name": "SANTO",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-16",
"last_updated": "2015-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00079874",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.