Provider Demographics
NPI:1518039916
Name:ROBINSON, CLAUDE EVERETT (LCSW, BCD)
Entity Type:Individual
Prefix:
First Name:CLAUDE
Middle Name:EVERETT
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 DICKINSON AVE
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-2001
Mailing Address - Country:US
Mailing Address - Phone:610-357-9714
Mailing Address - Fax:610-544-3604
Practice Address - Street 1:330 DICKINSON AVE
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-2001
Practice Address - Country:US
Practice Address - Phone:610-357-9714
Practice Address - Fax:610-544-3604
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ10002291041C0700X
PASW000511C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01913648Medicaid
R08150Medicare ID - Type Unspecified