Provider Demographics
NPI:1265643761
Name:ROBINSON, JOAN LOUISE (LCSW)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:LOUISE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 JADE CT
Mailing Address - Street 2:#11
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-2324
Mailing Address - Country:US
Mailing Address - Phone:415-892-2606
Mailing Address - Fax:
Practice Address - Street 1:44 JADE CT
Practice Address - Street 2:#11
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-2324
Practice Address - Country:US
Practice Address - Phone:415-892-2606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical