Provider Demographics
NPI:1104853209
Name:ROBINSON, CHRISTINE (LISW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2684 MAYFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44106-2520
Mailing Address - Country:US
Mailing Address - Phone:216-397-3228
Mailing Address - Fax:
Practice Address - Street 1:7547 MENTOR AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-5443
Practice Address - Country:US
Practice Address - Phone:440-951-6810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI9829104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker