Robin Blackwell ,LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-05040 Issued in NM

Legal business name

ROBIN BLACKWELL ,LCSW, LLC

Practice address

4810 Hardware Dr NE
Albuquerque, NM 87109-2013

Phone

(505) 440-9303

Fax

(505) 255-4717

NPI assigned

Jan 27, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Robin Blackwell, LCSW

Title

Clinical Social Worker

Phone

(505) 440-9303

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1962949941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 HARDWARE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092013",
            "telephone_number": "505-440-9303",
            "fax_number": "505-255-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 HARDWARE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092013",
            "telephone_number": "505-440-9303",
            "fax_number": "505-255-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN BLACKWELL ,LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "505-440-9303",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-05040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71828575",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Robertson
• Lisa Robertson
• Nicole Deann Robertson, CNP
• Rochelle Kathleen Robertson
• Moyna Robeson, MSW
• Robin N Hermes, MD, PC
• Gary H Robins
• Marie Robinson-Marmash
• Amy L Robinson, MD
• Anthony David Robinson, LMT

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.