Polly Janette Robertson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

37741 Issued in TX

Practice address

1200 N Bishop St
San Marcos, TX 78666-2706

Phone

(512) 392-7151

Fax

(512) 392-5444

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Enteave PLLCGroup PAC ID 9739410309, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Enteave PLLC

  • Clinical Social Worker
  • Austin, TX
  • NPI 1093363962
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1871641217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 N MOPAC EXPY",
            "address_2": "STE 814",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598348",
            "telephone_number": "512-748-6127",
            "fax_number": "512-792-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N BISHOP ST",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786662706",
            "telephone_number": "512-392-7151",
            "fax_number": "512-392-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "POLLY",
        "middle_name": "JANETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "37741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1859969-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "37741",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alanna Teresa Rivera
• Rivercrest Nursing and Rehab, Inc.
• Deborah C Roberts, COTA
• John Steven Roberts, LCSW, LSOTP
• Nia Roberts, DPT
• Robinson Orthopedics PLLC
• John Robinson Jr., M.D.
• Abel Rodriguez, LCSW, LCDC
• Ana L. Rodriguez, M.D.
• Caitlin N Rodriguez

• Clinical Social Worker in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.