Provider Demographics
NPI:1003276833
Name:ROBINSON LUCERO, KATIA JASMIN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KATIA
Middle Name:JASMIN
Last Name:ROBINSON LUCERO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3606 14TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33976-2949
Mailing Address - Country:US
Mailing Address - Phone:239-677-6664
Mailing Address - Fax:
Practice Address - Street 1:4206 DEL PRADO BLVD S
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7154
Practice Address - Country:US
Practice Address - Phone:239-677-6664
Practice Address - Fax:239-424-5271
Is Sole Proprietor?:No
Enumeration Date:2016-03-07
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker