Individual provider Active NPI

Gabrielle Antonia Robles, LCSW

  • Clinical Social Worker
  • Amsterdam, NY
National Provider Identifier
1992714869
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075019 Issued in NY
Practice address
67 Division St Ste 2
Amsterdam, NY 12010
Phone
(518) 627-2110
Fax
(518) 627-2112
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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 075019 NY Primary

Addresses

Primary practice location

67 Division St Ste 2
Amsterdam, NY 12010

Mailing address

1044 State St
Schenectady, NY 12307-1508
Phone (518) 370-1441

Other practice location 1

1044 State St
Schenectady, NY 12307-1508
Phone (518) 370-1441

Other identifiers 3

IdentifierTypeStateIssuer
02995513MedicaidNY
331833OtherNYMEDICARE OSCAR
53099AOtherNYMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190604000952 NY Practitioner - Clinical Social Worker 5597098756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schenectady Family Health Services IncGroup PAC ID 1850280827, 20 clinicians

Practice addresses (Care Compare)

1044 State St
Schenectady, NY 12307-1508
Phone 51837014414155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075019NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Schenectady Family Health Services, Inc. CurrentSince Apr 20, 2019 Accepting new patients
Schenectady Family Health Services, Inc. CurrentSince Apr 20, 2019 Accepting new patients
Schenectady Family Health Services, Inc. Past Accepting new patients
Schenectady Family Health Services, Inc. Past Accepting new patients
Schenectady Family Health Services, Inc. Past Accepting new patients

Locations

67 Division St
Ste 2
Amsterdam, NY 12010
Phone (518) 627-2110

1044 State St
Schenectady, NY 12307
Phone (518) 370-1441

Organizations & group practices 5

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1992714869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123071508",
            "telephone_number": "518-370-1441",
            "fax_number": "518-395-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 DIVISION ST STE 2",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-627-2110",
            "fax_number": "518-627-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 State St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123071508",
            "country_code": "US",
            "telephone_number": "518-370-1441",
            "fax_number": "518-395-9431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "GABRIELLE",
        "middle_name": "ANTONIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995513",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR",
            "identifier": "331833",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "53099A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.