Provider Demographics
NPI:1083731822
Name:DOLENO, ROBIN DALE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:DALE
Last Name:DOLENO
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 1:2180 PAULINE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-3517
Mailing Address - Country:US
Mailing Address - Phone:412-341-3575
Mailing Address - Fax:412-341-3575
Practice Address - Street 1:615 E MCMURRAY RD
Practice Address - Street 2:
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3497
Practice Address - Country:US
Practice Address - Phone:724-942-3996
Practice Address - Fax:724-942-5471
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACWO141671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical