Individual provider Active NPI

Bobbi Houston Pippins, LICSW-S

  • Clinical Social Worker
  • Geneva, AL
National Provider Identifier
1891485173
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5107C Issued in AL
Practice address
1203 W Maple Ave
Geneva, AL 36340-1641
Phone
(334) 805-1395
NPI assigned
May 10, 2023
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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 5107C AL Primary

Addresses

Primary practice location

1203 W Maple Ave
Geneva, AL 36340-1641

Mailing address

1203 W Maple Ave
Geneva, AL 36340-1641
Phone (334) 805-1395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230524003273 AL Practitioner - Clinical Social Worker 8628434123 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5107CALMDClinical Social Worker

Organizations & group practices 2

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": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1891485173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 W MAPLE AVE",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401641",
            "telephone_number": "334-805-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 W MAPLE AVE",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401641",
            "telephone_number": "334-805-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPINS",
        "first_name": "BOBBI",
        "middle_name": "HOUSTON",
        "credential": "LICSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5107C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, AL

Sources for this page

Verify at the official NPI Registry.