Provider Demographics
NPI:1437485844
Name:ROBIN WALDEN, LCSW, LLC
Entity Type:Organization
Organization Name:ROBIN WALDEN, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:FULTON
Authorized Official - Last Name:WALDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:225-924-4440
Mailing Address - Street 1:9270 SIEGEN LN
Mailing Address - Street 2:SUITE 501
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-1998
Mailing Address - Country:US
Mailing Address - Phone:225-924-4440
Mailing Address - Fax:225-767-7789
Practice Address - Street 1:9270 SIEGEN LN
Practice Address - Street 2:SUITE 501
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-1998
Practice Address - Country:US
Practice Address - Phone:225-924-4440
Practice Address - Fax:225-767-7789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA49911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty