Individual provider Active NPI

Roberta Faye Rinker, LICSW, LCSW-C, LCSW

  • Clinical Social Worker
  • Landover, MD
National Provider Identifier
1902362015
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12515 Issued in MD
Practice address
650 Stretford Way Apt 103
Landover, MD 20785-5951
Phone
(202) 491-8385
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50077802 DC
Clinical Social Worker 1041C0700X 0904012303 VA
Clinical Social Worker 1041C0700X 12515 MD Primary

Addresses

Primary practice location

650 Stretford Way Apt 103
Landover, MD 20785-5951

Mailing address

650 Stretford Way Apt 103
Landover, MD 20785-5951
Phone (202) 491-8385

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
LC50077802DCMDClinical Social Worker
0904012303VAMDClinical Social Worker
12515MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Connected IV Life Clinical CurrentSince Mar 20, 2025 Accepting new patients

Organizations & group practices 1

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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1902362015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 STRETFORD WAY APT 103",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207855951",
            "telephone_number": "202-491-8385",
            "fax_number": "202-526-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 STRETFORD WAY APT 103",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207855951",
            "telephone_number": "202-491-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINKER",
        "first_name": "ROBERTA",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "LICSW, LCSW-C, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50077802",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012303",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.