Provider Demographics
NPI:1437122934
Name:TOWNSEND, ROBIN YVONNE (LCSW, MAC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:YVONNE
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:LCSW, MAC
Other - Prefix:
Other - First Name:ROBBIE
Other - Middle Name:YVONNE
Other - Last Name:MCGRAW/SISK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, MAC
Mailing Address - Street 1:BUILDING 2523, 22ND ST
Mailing Address - Street 2:
Mailing Address - City:FORT CAMPBELL
Mailing Address - State:KY
Mailing Address - Zip Code:42223-5349
Mailing Address - Country:US
Mailing Address - Phone:270-798-8601
Mailing Address - Fax:270-798-8239
Practice Address - Street 1:650 JOEL DR
Practice Address - Street 2:
Practice Address - City:FORT CAMPBELL
Practice Address - State:KY
Practice Address - Zip Code:42223-5318
Practice Address - Country:US
Practice Address - Phone:270-798-8601
Practice Address - Fax:270-798-8239
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YA0400X
IDLCSW-244751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)