Provider Demographics
NPI:1073818225
Name:ROBLING, GARY LEE JR (LMSW)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:LEE
Last Name:ROBLING
Suffix:JR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 W HEMINGWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-1763
Mailing Address - Country:US
Mailing Address - Phone:208-453-8915
Mailing Address - Fax:208-453-8937
Practice Address - Street 1:1009 W HEMINGWAY BLVD
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-1763
Practice Address - Country:US
Practice Address - Phone:208-453-8915
Practice Address - Fax:208-453-8937
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-29100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker