Provider Demographics
NPI:1326068784
Name:ENGELS, ROBIN ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:ANNE
Last Name:ENGELS
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 1:198 LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:SHOHOLA
Mailing Address - State:PA
Mailing Address - Zip Code:18458-3906
Mailing Address - Country:US
Mailing Address - Phone:570-559-7210
Mailing Address - Fax:
Practice Address - Street 1:104 BENNETT AVE
Practice Address - Street 2:SUITE 2D
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-9759
Practice Address - Country:US
Practice Address - Phone:570-296-5184
Practice Address - Fax:570-409-3127
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071595-1104100000X
PACW0170941041C0700X
NJ44SC054394001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker