Individual provider Active NPI

Robbin Klein, LCSW, CADC

  • Clinical Social Worker
  • Lena, IL
National Provider Identifier
1851552384
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.01430 Issued in IL
Practice address
PO Box 162
Lena, IL 61048-0162
Phone
(815) 266-1166
NPI assigned
Jun 18, 2008
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23609 IL
Clinical Social Worker 1041C0700X 149.01430 IL Primary

Addresses

Primary practice location

PO Box 162
Lena, IL 61048-0162

Mailing address

PO Box 162
Lena, IL 61048-0162
Phone (815) 266-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100625000567 IL Practitioner - Clinical Social Worker 3971634577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

524 W Stephenson St
Suite 245
Freeport, IL 61032-5057
Phone (815) 266-1166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23609ILMDAddiction (Substance Use Disorder) Counselor
149.01430ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robbin L Klein Counseling Services Addiction (Substance Use Disorder) CurrentSince Dec 20, 2015 Accepting new patients
Behavioral Medicine & Neuropsychological Associates, LLC Clinical Past Accepting new patients
Behavioral Medicine, P.C PastSince Jun 7, 2014 Accepting new patients

Locations

524 W Stephenson St
Ste 245
Freeport, IL 61032
Phone (815) 266-1166

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1851552384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162",
            "city": "LENA",
            "state": "IL",
            "postal_code": "610480162",
            "telephone_number": "815-266-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 162",
            "city": "LENA",
            "state": "IL",
            "postal_code": "610480162",
            "telephone_number": "815-266-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ROBBIN",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "23609",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.01430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lena, IL

Sources for this page

Verify at the official NPI Registry.