Provider Demographics
NPI:1114948783
Name:ROBBINS, LINDA JUDITH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JUDITH
Last Name:ROBBINS
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 1:50 E 10TH ST
Mailing Address - Street 2:APT. 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6221
Mailing Address - Country:US
Mailing Address - Phone:212-475-7227
Mailing Address - Fax:212-475-7227
Practice Address - Street 1:24 E 12TH ST
Practice Address - Street 2:SUITE 605
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4403
Practice Address - Country:US
Practice Address - Phone:212-475-7227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP03363811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN76631Medicare ID - Type Unspecified