Individual provider Active NPI

Debra Sue Matthews-Robinson, LCSW

  • Social Worker
  • Cocoa, FL
National Provider Identifier
1982173365
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW8464 Issued in FL
Practice address
414 Dryden Cir
Cocoa, FL 32926-2484
Phone
(321) 961-4578
NPI assigned
Nov 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW8464 FL Primary

Addresses

Primary practice location

414 Dryden Cir
Cocoa, FL 32926-2484

Mailing address

414 Dryden Cir
Cocoa, FL 32926-2484
Phone (321) 961-4578

Other names 1

  • Debra Sue Turner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241218002309 FL Practitioner - Clinical Social Worker 1658811674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW8464FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Self Reflections Counseling LLC CurrentSince Aug 23, 2024 Accepting new patients

Locations

690 Friday Rd
Cocoa, FL 32926
Phone (321) 427-9907

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": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1982173365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 DRYDEN CIR",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329262484",
            "telephone_number": "321-961-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 DRYDEN CIR",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329262484",
            "telephone_number": "321-961-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS-ROBINSON",
        "first_name": "DEBRA",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW8464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "TURNER",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cocoa, FL

Sources for this page

Verify at the official NPI Registry.