Provider Demographics
NPI:1033300595
Name:ROBINSON, ABIGAIL JUDITH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:JUDITH
Last Name:ROBINSON
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 1:4865 RIVERBEND DR
Mailing Address - Street 2:#102
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301
Mailing Address - Country:US
Mailing Address - Phone:303-444-2072
Mailing Address - Fax:303-444-2372
Practice Address - Street 1:4865 RIVERBEND DR
Practice Address - Street 2:#102
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301
Practice Address - Country:US
Practice Address - Phone:303-444-2072
Practice Address - Fax:303-444-2372
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9911411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical