Provider Demographics
NPI:1124579347
Name:ROBINSON, CASEY ANGELLE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CASEY
Middle Name:ANGELLE
Last Name:ROBINSON
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:PO BOX 1954
Mailing Address - Street 2:
Mailing Address - City:SCOTT
Mailing Address - State:LA
Mailing Address - Zip Code:70583-1954
Mailing Address - Country:US
Mailing Address - Phone:337-706-4505
Mailing Address - Fax:855-787-9483
Practice Address - Street 1:614 W SAINT MARY BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3538
Practice Address - Country:US
Practice Address - Phone:337-706-4505
Practice Address - Fax:855-787-9483
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA90821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical