Active NPI
Robb Douglas Leroy, MSW
- Social Worker
- Tacoma, WA
National Provider Identifier
1801568530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1717 S J St
Tacoma, WA 98405-4933 - Phone
- (253) 341-5390
- NPI assigned
- Sep 30, 2021
- Sex
- Male
- Sole proprietor
- No
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)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1717 S J St
Tacoma, WA 98405-4933
Mailing address
3447 NE Quinault Dr
Bremerton, WA 98311-9686
Phone (360) 440-1935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2021.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1801568530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3447 NE QUINAULT DR",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983119686",
"telephone_number": "360-440-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S J ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054933",
"telephone_number": "253-341-5390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEROY",
"first_name": "ROBB",
"middle_name": "DOUGLAS",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.