Individual provider Active NPI

Robin Bubis Zoss, MSSA LISW

  • Social Worker
  • Beachwood, OH
National Provider Identifier
1831298512
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I4645 Issued in OH
Practice address
3690 Orange Place
Beachwood, OH 44122
Phone
(216) 464-5330
Fax
(216) 464-5332
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I4645 OH Primary

Addresses

Primary practice location

3690 Orange Place
Beachwood, OH 44122

Mailing address

3690 Orange Place
#430
Beachwood, OH 44122
Phone (216) 464-5330

Other identifiers 1

IdentifierTypeStateIssuer
I4645OtherOHOHIO STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120202000945 OH Practitioner - Clinical Social Worker 0941467989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Coast Mental Health Associates IncGroup PAC ID 5597661439, 10 clinicians

Practice addresses (Care Compare)

3690 Orange PL
Beachwood, OH 44122-4467
Phone (216) 464-5330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I4645OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Mental Health Associates Inc. CurrentSince Dec 7, 2011 Accepting new patients

Locations

3690 Orange Pl
Ste 430
Beachwood, OH 44122
Phone (216) 464-5330

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831298512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PLACE",
            "address_2": "#430",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-464-5330",
            "fax_number": "216-464-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PLACE",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-464-5330",
            "fax_number": "216-464-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOSS",
        "first_name": "ROBIN",
        "middle_name": "BUBIS",
        "name_prefix": "Ms.",
        "credential": "MSSA LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I4645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE LICENSE",
            "identifier": "I4645",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.