Provider Demographics
NPI:1205201563
Name:ROBIN, ANUPAMA (LICSW)
Entity Type:Individual
Prefix:MS
First Name:ANUPAMA
Middle Name:
Last Name:ROBIN
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 1:10824 CRUSHED GRAPE DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4518
Mailing Address - Country:US
Mailing Address - Phone:347-636-9240
Mailing Address - Fax:
Practice Address - Street 1:10824 CRUSHED GRAPE DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4518
Practice Address - Country:US
Practice Address - Phone:347-636-9240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-11
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.234044981041C0700X
NY72 074217104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical