Provider Demographics
NPI:1407086481
Name:SISKA, ROBIN LEIGH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LEIGH
Last Name:SISKA
Suffix:
Gender:F
Credentials:LCSW
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Mailing Address - Street 1:THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HL
Mailing Address - Street 2:CB # 7160
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7160
Mailing Address - Country:US
Mailing Address - Phone:919-942-7363
Mailing Address - Fax:919-942-7379
Practice Address - Street 1:THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HL
Practice Address - Street 2:CB # 7160
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7160
Practice Address - Country:US
Practice Address - Phone:919-942-7363
Practice Address - Fax:919-942-7379
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCP0052161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical