Provider Demographics
NPI:1467707810
Name:ROBINSON, SAHRA Y (LCSW)
Entity Type:Individual
Prefix:
First Name:SAHRA
Middle Name:Y
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4025 AUSTIN BLVD
Mailing Address - Street 2:
Mailing Address - City:ISLAND PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11558-1221
Mailing Address - Country:US
Mailing Address - Phone:516-415-2190
Mailing Address - Fax:
Practice Address - Street 1:4025 AUSTIN BLVD
Practice Address - Street 2:
Practice Address - City:ISLAND PARK
Practice Address - State:NY
Practice Address - Zip Code:11558-1221
Practice Address - Country:US
Practice Address - Phone:516-415-2190
Practice Address - Fax:516-432-0760
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074680-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical