Active NPI
Robin Nuzum, A.M., M.DIV.
- Clinical Social Worker
- Gainesville, FL
National Provider Identifier
1821378910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW6107
- Practice address
- 1505 NW 16TH Ave
Gainesville, FL 32605-4036 - Phone
- (352) 375-2148
- NPI assigned
- Aug 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | SW6107 | FL | Primary |
| Marriage & Family Therapist | 106H00000X | MT1826 | FL |
Addresses
Primary practice location
1505 NW 16TH Ave
Gainesville, FL 32605-4036
Mailing address
205 SW 75TH St Apt 9S
Gainesville, FL 32607-1751
Phone (352) 332-6774
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW6107 | FL | MD | Clinical Social Worker |
| MT1826 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1821378910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 SW 75TH ST APT 9S",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326071751",
"telephone_number": "352-332-6774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 NW 16TH AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054036",
"telephone_number": "352-375-2148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUZUM",
"first_name": "ROBIN",
"credential": "A.M., M.DIV.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW6107",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT1826",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.