Provider Demographics
NPI:1003972589
Name:STEINBERG, ROBERT (MSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 PACIFIC AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4055
Mailing Address - Country:US
Mailing Address - Phone:425-258-1504
Mailing Address - Fax:425-212-2100
Practice Address - Street 1:1712 PACIFIC AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4055
Practice Address - Country:US
Practice Address - Phone:425-258-1504
Practice Address - Fax:425-212-2100
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00053991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAS27253Medicare UPIN