Provider Demographics
NPI:1124583265
Name:ROBINSON, MARY P (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:P
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 LAKESIDE RD
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-3128
Mailing Address - Country:US
Mailing Address - Phone:518-229-2622
Mailing Address - Fax:
Practice Address - Street 1:1064 MAIN ST
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-3600
Practice Address - Country:US
Practice Address - Phone:845-896-6751
Practice Address - Fax:845-227-2524
Is Sole Proprietor?:No
Enumeration Date:2019-02-03
Last Update Date:2019-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR062324-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical