Active NPI
Robert Concannen Hospers, LCSW CASAC
- Social Worker
- Rochester, NY
National Provider Identifier
1891708061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- PO483571
- Practice address
- 1 Saredon Place
Suite 300
Rochester, NY 14606 - Phone
- (585) 275-3600
- Fax
- (585) 273-1089
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | PO483571 | NY | Primary |
Addresses
Primary practice location
1 Saredon Place
Suite 300
Rochester, NY 14606
Mailing address
1 Saredon Place
Suite 300
Rochester, NY 14606
Phone (585) 275-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02723320 | Medicaid | NY | |
| 7616661 | Other | NY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO483571 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891708061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SAREDON PLACE",
"address_2": "SUITE 300",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14606",
"telephone_number": "585-275-3600",
"fax_number": "585-273-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAREDON PLACE",
"address_2": "SUITE 300",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14606",
"telephone_number": "585-275-3600",
"fax_number": "585-273-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSPERS",
"first_name": "ROBERT",
"middle_name": "CONCANNEN",
"name_prefix": "Mr.",
"credential": "LCSW CASAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "PO483571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02723320",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7616661",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.