Provider Demographics
NPI:1043092414
Name:ROBINSON, FREDERIKA (LMSW; CPC)
Entity Type:Individual
Prefix:MS
First Name:FREDERIKA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LMSW; CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 SULLIVAN PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-2708
Mailing Address - Country:US
Mailing Address - Phone:917-470-2335
Mailing Address - Fax:
Practice Address - Street 1:137 SULLIVAN PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-2708
Practice Address - Country:US
Practice Address - Phone:917-470-2335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY085922104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker