Provider Demographics
NPI:1447747332
Name:SONTHEIMER, ROBIN GARDNER (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:GARDNER
Last Name:SONTHEIMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:ELISE
Other - Last Name:GARDNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2200 W. 35TH STREET
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703
Mailing Address - Country:US
Mailing Address - Phone:512-782-5001
Mailing Address - Fax:
Practice Address - Street 1:2200 W. 35TH STREET
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703
Practice Address - Country:US
Practice Address - Phone:512-782-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2023-10-26
Deactivation Date:2022-12-17
Deactivation Code:
Reactivation Date:2023-09-29
Provider Licenses
StateLicense IDTaxonomies
TX572791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical