Provider Demographics
NPI:1053300434
Name:JOHNSTONE, ROBBI (LCSW, BCD)
Entity Type:Individual
Prefix:MS
First Name:ROBBI
Middle Name:
Last Name:JOHNSTONE
Suffix:
Gender:F
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10811 WASHINGTON BOULEVARD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232
Mailing Address - Country:US
Mailing Address - Phone:323-957-4790
Mailing Address - Fax:310-202-1047
Practice Address - Street 1:10811 WASHINGTON BOULEVARD
Practice Address - Street 2:SUITE 301
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232
Practice Address - Country:US
Practice Address - Phone:323-957-4790
Practice Address - Fax:310-202-1047
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS96281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW9628BMedicare ID - Type UnspecifiedLICENSE NUMBER