Individual provider Active NPI

Robin Burwell, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1942500897
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7441 Issued in OR
Practice address
2052 NE 4TH St
Bend, OR 97701-3825
Phone
(541) 213-8110
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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 L7441 OR Primary

Addresses

Primary practice location

2052 NE 4TH St
Bend, OR 97701-3825

Mailing address

2052 NE 4TH St
Bend, OR 97701-3825
Phone (541) 213-8110

Other practice location 1

2577 NE Courtney Dr
Bend, OR 97701-7638
Phone (541) 322-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20201222001662 OR Practitioner - Clinical Social Worker 3870826654 Practice locations: Bend, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

740 NW Colorado Ave
Bend, OR 97703-3291
Phone (541) 213-8110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L7441ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resolutions Creative Conflict Management, Inc Clinical CurrentSince May 16, 2021 Accepting new patients
Judy Rotondi LLC Clinical PastSince May 16, 2021 Accepting new patients

Locations

2052 NE 4th St
Bend, OR 97701
Phone (541) 280-2789

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1942500897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013825",
            "telephone_number": "541-213-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013825",
            "telephone_number": "541-213-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2577 NE Courtney Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977017638",
            "country_code": "US",
            "telephone_number": "541-322-7500",
            "fax_number": "541-322-7565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURWELL",
        "first_name": "ROBIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.