Active NPI
Elan Robin, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1831597186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 080833-1
- Practice address
- 320 Jay St
Brooklyn, NY 11201-2935 - Phone
- (347) 296-1269
- NPI assigned
- Dec 17, 2014
- Sex
- Male
- 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 | 080833-1 | NY | Primary |
Addresses
Primary practice location
320 Jay St
Brooklyn, NY 11201-2935
Mailing address
3110 23Rd St
Apt 2F
Astoria, NY 11106-4585
Phone (631) 398-3719
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 |
|---|---|---|---|
| 080833-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1831597186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 23RD ST",
"address_2": "APT 2F",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111064585",
"telephone_number": "631-398-3719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 JAY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012935",
"telephone_number": "347-296-1269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBIN",
"first_name": "ELAN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-17",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "080833-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.