Provider Demographics
NPI:1376649665
Name:ROBINSON, DAWN R (LSCSW, LLC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:R
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LSCSW, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 N. TYLER ROAD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-3726
Mailing Address - Country:US
Mailing Address - Phone:316-869-2220
Mailing Address - Fax:316-869-2221
Practice Address - Street 1:123 N. TYLER ROAD
Practice Address - Street 2:SUITE 300
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-3726
Practice Address - Country:US
Practice Address - Phone:316-869-2220
Practice Address - Fax:316-869-2221
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS21521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS11745Medicare UPIN
KS70672Medicare UPIN
KS11745Medicare UPIN