Provider Demographics
NPI:1235820580
Name:MCGINN, ROBIN GABRIELLE (ASW)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:GABRIELLE
Last Name:MCGINN
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:GABRIELLE
Other - Last Name:WEYLER (ROSE)
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8945 GOLF LINKS RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-4124
Mailing Address - Country:US
Mailing Address - Phone:510-317-1444
Mailing Address - Fax:
Practice Address - Street 1:1234 EMPIRE ST
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-5711
Practice Address - Country:US
Practice Address - Phone:707-429-4440
Practice Address - Fax:707-420-7467
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA114444104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker