Provider Demographics
NPI:1255306452
Name:ROBINSON, CHRISTOPHER (LCSW)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 3RD AVE
Mailing Address - Street 2:SUITES 3 & 4
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-2154
Mailing Address - Country:US
Mailing Address - Phone:201-666-2400
Mailing Address - Fax:201-666-2472
Practice Address - Street 1:192 3RD AVE
Practice Address - Street 2:SUITES 3 & 4
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-2154
Practice Address - Country:US
Practice Address - Phone:201-666-2400
Practice Address - Fax:201-666-2472
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC000331001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ005490UH6Medicare ID - Type UnspecifiedCLINICAL SOCIAL WORKER