Provider Demographics
NPI:1407627821
Name:ROBRAHN, CELESTE THERESE (MSW, RCSWI)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:THERESE
Last Name:ROBRAHN
Suffix:
Gender:F
Credentials:MSW, RCSWI
Other - Prefix:
Other - First Name:CELESTE
Other - Middle Name:THERESE
Other - Last Name:ROBRAHN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, RCSWI
Mailing Address - Street 1:1048 KENNEWICK CT
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-7668
Mailing Address - Country:US
Mailing Address - Phone:239-851-1230
Mailing Address - Fax:
Practice Address - Street 1:1312 APOLLO BEACH BLVD STE B
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-3037
Practice Address - Country:US
Practice Address - Phone:813-444-2234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW190891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical