Individual provider Active NPI

Robyn L Rumple, MSW LCSW

  • Clinical Social Worker
  • Glendale, AZ
National Provider Identifier
1871763433
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW11596 Issued in AZ
Practice address
5891 W Eugie Ave
Glendale, AZ 85304-1252
Phone
(602) 588-6716
NPI assigned
Mar 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW11596 AZ Primary

Addresses

Primary practice location

5891 W Eugie Ave
Glendale, AZ 85304-1252

Mailing address

825 N Grand Ave Ste 100
Nogales, AZ 85621-2385
Phone (520) 761-2128

Other practice location 1

1835 N Mastick Way
Nogales, AZ 85621-1064
Phone (520) 281-1550

Other identifiers 2

IdentifierTypeStateIssuer
11596OtherAZLCSW
015272MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150618001233 AZ Practitioner - Clinical Social Worker 2062723935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mariposa Community Health Center IncGroup PAC ID 8123926326, 34 clinicians

Practice addresses (Care Compare)

1852 N Mastick Way
Nogales, AZ 85621-1063
Phone (520) 281-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW11596AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Community Health Center, Inc Current Accepting new patients
Mariposa Community Health Center, Inc CurrentSince May 10, 2023 Accepting new patients
Mariposa Community Health Center, Inc CurrentSince Aug 9, 2024 Accepting new patients

Locations

1835 N Mastick Way
Nogales, AZ 85621
Phone 5202811550 ext. 1180

507 N Western Ave
Nogales, AZ 85621
Phone (520) 229-0085

825 N Grand Ave
Ste 100
Nogales, AZ 85621
Phone (520) 761-2128

1852 N Mastick Way
Nogales, AZ 85621

Interoperability endpoints

  • Direct secure messaging: robyn.rumple.p1@direct.azch.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1871763433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N GRAND AVE STE 100",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212385",
            "telephone_number": "520-761-2128",
            "fax_number": "520-281-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5891 W EUGIE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041252",
            "telephone_number": "602-588-6716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1835 N Mastick Way",
            "address_purpose": "LOCATION",
            "city": "Nogales",
            "state": "AZ",
            "postal_code": "856211064",
            "country_code": "US",
            "telephone_number": "520-281-1550",
            "fax_number": "520-281-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUMPLE",
        "first_name": "ROBYN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW11596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "11596",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015272",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.