Provider Demographics
NPI:1518130251
Name:ROBBINS, MAUREEN JOY (MSSW)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:JOY
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 ROYAL AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53713-1595
Mailing Address - Country:US
Mailing Address - Phone:608-221-3511
Mailing Address - Fax:608-221-3514
Practice Address - Street 1:2800 ROYAL AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53713-1595
Practice Address - Country:US
Practice Address - Phone:608-221-3511
Practice Address - Fax:608-221-3514
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI722-122104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43583100Medicaid