Provider Demographics
NPI:1003108739
Name:ROBISON, ADRIENNE ELIZABETH (LCSW)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:ELIZABETH
Last Name:ROBISON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:ELIZABETH
Other - Last Name:CHERNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1524 S IH 35 STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-2617
Mailing Address - Country:US
Mailing Address - Phone:469-867-5817
Mailing Address - Fax:
Practice Address - Street 1:1524 S IH 35 STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-2617
Practice Address - Country:US
Practice Address - Phone:469-867-5817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX542871041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical