Provider Demographics
NPI:1265508279
Name:ROBINSON, LYNETTE B
Entity Type:Individual
Prefix:MRS
First Name:LYNETTE
Middle Name:B
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LYNETTE
Other - Middle Name:B
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW LISW -CP
Mailing Address - Street 1:2 RIVER CLUB CT
Mailing Address - Street 2:
Mailing Address - City:OKATIE
Mailing Address - State:SC
Mailing Address - Zip Code:29909-4219
Mailing Address - Country:US
Mailing Address - Phone:843-987-2300
Mailing Address - Fax:843-987-3819
Practice Address - Street 1:2 RIVER CLUB CT
Practice Address - Street 2:
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909-4219
Practice Address - Country:US
Practice Address - Phone:843-987-2300
Practice Address - Fax:843-987-3819
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC57821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical