Robyn Coons, LICSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1025016 Issued in MA

Practice address

42 Patton Rd
Ayer, MA 01434-3802

Phone

(978) 796-1084

Fax

(978) 796-1079

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Federal Bureau of Prisons

  • Clinic/Center
  • Devens, MA
  • NPI 1053644773
  NPD (past)
• Federal Medical Center Devens

  • Prison Health Clinic/Center
  • Ayer, MA
  • NPI 1295046647
  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1982185096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SHRINE AVE",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831930",
            "telephone_number": "508-887-6264",
            "fax_number": "978-796-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PATTON RD",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014343802",
            "telephone_number": "978-796-1084",
            "fax_number": "978-796-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONS",
        "first_name": "ROBYN",
        "name_prefix": "Ms.",
        "credential": "LICSW, BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1025016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE INDEPENDENT CLINICAL SOCIAL WORK (LICSW)",
            "identifier": "1025016",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Ma Cardiovascular Physicians Inc
• Adam W Cerel, MD
• Jonathan Chack, M.A.
• Christa L. Maxant, Inc.
• Kelly Colton
• Angelica Marie Costas
• Christina L Cozza
• Hilary Ann Curtis, PH.D., LMHC
• Megan Cushing, LICSW
• Steven Louis D'Angelo, MA

• All providers in Ayer, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.