MEDICARE: ROBERT CUSHING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ISW13976	FL

General Provider Information

NPI Number	:	1306487491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT CUSHING

Provider Business Mailing Address
First Line	:	13657 PLEASANT DR
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33774-4127
Country	:	US
Telephone Number	:	727-512-2133
Fax Number	:

Provider Business Practice Location Address
First Line	:	9050 58TH DR E
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34202-6104
Country	:	US
Telephone Number	:	941-907-0525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2019
Last Update Date	:	11/02/2025

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Directions to “ ROBERT CUSHING ” Practice Location

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