Provider Demographics
NPI:1114970340
Name:DURGIN-KING, ROBIN ANNE (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:ANNE
Last Name:DURGIN-KING
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SULLIVAN DR
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721
Mailing Address - Country:US
Mailing Address - Phone:508-730-2700
Mailing Address - Fax:508-730-2426
Practice Address - Street 1:101 SULLIVAN DR
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721
Practice Address - Country:US
Practice Address - Phone:508-730-2700
Practice Address - Fax:508-730-2426
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1022436104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
DUP20308Medicare ID - Type Unspecified