Provider Demographics
NPI:1558136010
Name:ROBINSON, LUKE COORKEN (LMSW)
Entity Type:Individual
Prefix:
First Name:LUKE
Middle Name:COORKEN
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1286 DECATUR ST APT 2R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-1372
Mailing Address - Country:US
Mailing Address - Phone:617-762-7036
Mailing Address - Fax:
Practice Address - Street 1:9413 FLATLANDS AVE STE 1E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3751
Practice Address - Country:US
Practice Address - Phone:718-272-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY117938-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical