Individual provider Active NPI

Angel Lynett Robinson

  • Clinical Social Worker
  • Stockbridge, GA
National Provider Identifier
1801253604
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008314 Issued in GA
Practice address
750 Swan Lake Rd
Stockbridge, GA 30281-1526
Phone
(678) 328-7775
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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 CSW008314 GA Primary

Addresses

Primary practice location

750 Swan Lake Rd
Stockbridge, GA 30281-1526

Mailing address

750 Swan Lake Rd
Stockbridge, GA 30281-1526
Phone (678) 328-7775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20230404002174 GA Practitioner - Clinical Social Worker 6103291174 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Georgia LLCGroup PAC ID 4183079577, 14 clinicians

Practice addresses (Care Compare)

198 Hampton St
McDonough, GA 30253-3152
Phone (770) 957-9081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW008314GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Aug 15, 2023 Accepting new patients
Lifesource of North Carolina Clinical CurrentSince Mar 1, 2023 Accepting new patients
Vitae Health Medical Georgia LLC Clinical CurrentSince Aug 20, 2024 Accepting new patients
Lifesource of North Carolina Clinical CurrentSince Mar 1, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

2722 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626

198 Hampton St
McDonough, GA 30253
Phone (770) 657-9081

1345 Redmond Cir NW
Rome, GA 30165
Phone (706) 234-8281

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1801253604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SWAN LAKE RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302811526",
            "telephone_number": "678-328-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SWAN LAKE RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302811526",
            "telephone_number": "678-328-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ANGEL",
        "middle_name": "LYNETT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.