Individual provider Active NPI

Deborah Robbins, LICSW

  • Clinical Social Worker
  • Concord, MA
National Provider Identifier
1982731139
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102354 Issued in MA
Practice address
111 Old Road to 9 Acre Cor
Concord, MA 01742-4141
Phone
(978) 369-1113
Fax
(978) 369-0908
NPI assigned
Feb 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 102354 MA Primary

Addresses

Primary practice location

111 Old Road to 9 Acre Cor
Concord, MA 01742-4141

Mailing address

11 Arlo Rd
Newton, MA 02464-1002
Phone (617) 244-4559

Other identifiers 2

IdentifierTypeStateIssuer
226990OtherMATRICARE
P10320OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050920001057 MA Practitioner - Clinical Social Worker 2062446933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Suffolk Community Services IncGroup PAC ID 9234037516, 42 clinicians

Practice addresses (Care Compare)

25 Staniford St
Boston, MA 02114-2503
Phone (617) 912-7800

265 Beach St
Revere, MA 02151-3131
Phone (781) 289-9331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Suffolk Community Services Inc. CurrentSince Mar 6, 2009 Accepting new patients
My Health101 PC Past Accepting new patients
Eliot Community Human Services Past Accepting new patients

Locations

301 Broadway
Chelsea, MA 02150
Phone (617) 889-4860

265 Beach St
Revere, MA 02151
Phone (781) 289-9331

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982731139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ARLO RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641002",
            "telephone_number": "617-244-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OLD ROAD TO 9 ACRE COR",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424141",
            "telephone_number": "978-369-1113",
            "fax_number": "978-369-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "102354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "226990",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P10320",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.