Individual provider Active NPI

Robert Testen, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1902082662
Registry record updated Jan 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004585 Issued in NC
Practice address
1829 E Franklin St Ste 600
Chapel Hill, NC 27514-5863
Phone
(919) 698-5644
Fax
(919) 240-0204
NPI assigned
Jan 12, 2008
Last updated
Jan 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2008

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 C004585 NC Primary

Addresses

Primary practice location

1829 E Franklin St Ste 600
Chapel Hill, NC 27514-5863

Mailing address

1829 E Franklin St Ste 600
Chapel Hill, NC 27514-5863
Phone (919) 698-5644

Other identifiers 1

IdentifierTypeStateIssuer
142FMOtherNCBLUE CROSS BLUE SHIELD

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C004585NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1200096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200096000000",
    "number": "1902082662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST STE 600",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145863",
            "telephone_number": "919-698-5644",
            "fax_number": "919-240-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST STE 600",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145863",
            "telephone_number": "919-698-5644",
            "fax_number": "919-240-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTEN",
        "first_name": "ROBERT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-12",
        "last_updated": "2008-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "142FM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.