Provider Demographics
NPI:1437162948
Name:ROBINSON, SARA SMITH (PHD, LISW-CP)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:SMITH
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHD, LISW-CP
Other - Prefix:DR
Other - First Name:SALLY
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD,LISW-CP
Mailing Address - Street 1:PO BOX 555
Mailing Address - Street 2:SALLY ROBINSON, PHD, LISW-CP
Mailing Address - City:CAMDEN
Mailing Address - State:SC
Mailing Address - Zip Code:29021-0555
Mailing Address - Country:US
Mailing Address - Phone:803-427-1182
Mailing Address - Fax:803-432-4706
Practice Address - Street 1:1119 LITTLE STREET
Practice Address - Street 2:SALLY ROBINSON PHD, LISW-CP
Practice Address - City:CAMDEN
Practice Address - State:SC
Practice Address - Zip Code:29020-3612
Practice Address - Country:US
Practice Address - Phone:803-427-1182
Practice Address - Fax:803-432-4706
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC68031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical