Provider Demographics
NPI:1083896245
Name:ROBINSON, JANNIE (LCSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:JANNIE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2627
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23327-2627
Mailing Address - Country:US
Mailing Address - Phone:757-777-2092
Mailing Address - Fax:757-819-7569
Practice Address - Street 1:1403 GREENBRIER PKWY STE 200
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2876
Practice Address - Country:US
Practice Address - Phone:757-777-2092
Practice Address - Fax:757-819-7569
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040018651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA160272OtherHEALTHKEEPERS
VA0101160508Medicaid
VA160272OtherANTHEM BCBS