Provider Demographics
NPI:1114068608
Name:ROBBINS, JEFFREY D (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:D
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 E CENTRAL TEXAS EXPY STE 103
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76541-9145
Mailing Address - Country:US
Mailing Address - Phone:254-526-7272
Mailing Address - Fax:254-526-3949
Practice Address - Street 1:806 E AVENUE D
Practice Address - Street 2:SUITE F
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-2284
Practice Address - Country:US
Practice Address - Phone:254-547-6415
Practice Address - Fax:254-547-2030
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0077251041C0700X
NMI-064951041S0200X
TX526911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool