Provider Demographics
NPI:1437339876
Name:ROBINSON, SHEILA V (MSW)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:V
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-4208
Mailing Address - Country:US
Mailing Address - Phone:312-532-8740
Mailing Address - Fax:
Practice Address - Street 1:3020 N. LINCOLN
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-1924
Practice Address - Country:US
Practice Address - Phone:312-532-8740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6796-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL149.010587OtherSTATE OF ILLINOIS LICENSED CLINICAL SOCIAL WORKER
WI6796-123OtherLCSW