Susan B. Robertson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001970 Issued in VA

Practice address

2915 Hunter Mill Rd
Ste 14
Oakton, VA 22124-1716

Phone

(703) 938-5547

Fax

(703) 938-7624

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912928300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 ROSE CREEK CT",
            "address_2": "PO BOX 177",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241782",
            "telephone_number": "703-938-5547",
            "fax_number": "703-938-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 HUNTER MILL RD",
            "address_2": "STE 14",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241716",
            "telephone_number": "703-938-5547",
            "fax_number": "703-938-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "SUSAN",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pivotal Behavior Inc.
• Michelle Pryslak, MPH, RD
• John Charles Reed, M.D.
• River5 Therapy 1, LLC
• Jean Roark, PTA
• Joan Rockwell, LCSW
• Rony Alejandro Roman, DPT, PT
• Madeleine Rosenstein, PA-C
• Heather Nichole Ross, DPT, PT
• Thomas J Ryan, MD

• Clinical Social Worker in Oakton, VA
• Providers in Oakton, VA by specialty
• Clinical Social Worker in Virginia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.