Active NPI
Juanita Duerkop Robbins, LISW, CP&AP
- Clinical Social Worker
- Moncks Corner, SC
National Provider Identifier
1790858405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005749
- Practice address
- 117 E Main St
Moncks Corner, SC 29461-3764 - Phone
- (843) 899-4949
- Fax
- (843) 899-7224
- NPI assigned
- Nov 17, 2006
- Last updated
- Jun 9, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005749 | SC | Primary |
Addresses
Primary practice location
117 E Main St
Moncks Corner, SC 29461-3764
Mailing address
117 E Main St
Moncks Corner, SC 29461-3764
Phone (843) 899-4949
Other names 1
- Juanita Duerkop
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
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.
-
- Clinical Social Worker
- Moncks Corner, SC
- NPI 1992808471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1790858405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E MAIN ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613764",
"telephone_number": "843-899-4949",
"fax_number": "843-899-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E MAIN ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613764",
"telephone_number": "843-899-4949",
"fax_number": "843-899-7224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBBINS",
"first_name": "JUANITA",
"middle_name": "DUERKOP",
"credential": "LISW, CP&AP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "005749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUANITA",
"last_name": "DUERKOP",
"credential": "LISW, CP&AP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.