Provider Demographics
NPI:1508923079
Name:BARNETT, ROBIN M (EDD, LCSW)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:M
Last Name:BARNETT
Suffix:
Gender:F
Credentials:EDD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 SHORE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-2220
Mailing Address - Country:US
Mailing Address - Phone:609-653-8600
Mailing Address - Fax:609-653-8612
Practice Address - Street 1:1810 SHORE RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-2220
Practice Address - Country:US
Practice Address - Phone:609-653-8600
Practice Address - Fax:609-653-8612
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC0026951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ133682OtherVALUE OPTIONS
NJP2391621OtherOXFORD HEALTH PLANS
NJ2330832OtherAETNA
NJ0210416000OtherAMERIHEALTH
NJ133682OtherVALUE OPTIONS