Provider Demographics
NPI:1396851325
Name:SHAPIRO, ROBIN GAIL (LICSW)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:GAIL
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6203 28TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-7117
Mailing Address - Country:US
Mailing Address - Phone:206-527-0693
Mailing Address - Fax:206-523-0505
Practice Address - Street 1:843 NE 66TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5553
Practice Address - Country:US
Practice Address - Phone:206-527-0693
Practice Address - Fax:206-523-0505
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW54111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical