Active NPI
Robyn L Rumple, MSW LCSW
- Clinical Social Worker
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW11596
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11596 | Other | AZ | LCSW |
| 015272 | Medicaid | AZ |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW11596 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mariposa Community Health Center, Inc | Current | Accepting new patients | |
| Mariposa Community Health Center, Inc | Current | Accepting new patients | |
| Mariposa Community Health Center, Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1417985474
-
- Federally Qualified Health Center (FQHC)
- Patagonia, AZ
- NPI 1003837618
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1487537445
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.