Active NPI
Michael Robin, MSW, LICSW, MPH
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1972699080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8738
- Practice address
- 3100 W Lake St
Suite 210
Minneapolis, MN 55416-4527 - Phone
- (612) 925-6033
- Fax
- (612) 925-8496
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8738 | MN | Primary |
Addresses
Primary practice location
3100 W Lake St
Suite 210
Minneapolis, MN 55416-4527
Mailing address
1 Ludlow Ave
Saint Paul, MN 55108-1914
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62-57851 | Other | MN | BHP |
| 114187 | Other | MN | UCARE MN |
| 89D55RO | Other | MN | BCBS |
| 640357300 | Other | MN | MN CARE |
| HP30939 | Other | MN | HEALTHPARTNERS |
| 62-57851 | Other | MN | UBH |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08738 | MN | MD | Clinical Social Worker |
| 8738 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bhsi, LLC | Past | 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.
-
- Clinical Psychologist
- North Saint Paul, MN
- NPI 1174635643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1972699080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LUDLOW AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 W LAKE ST",
"address_2": "SUITE 210",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554164527",
"telephone_number": "612-925-6033",
"fax_number": "612-925-8496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBIN",
"first_name": "MICHAEL",
"credential": "MSW, LICSW, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "8738",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BHP",
"identifier": "62-57851",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE MN",
"identifier": "114187",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89D55RO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN CARE",
"identifier": "640357300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP30939",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "62-57851",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.