Provider Demographics
NPI:1558876243
Name:WEBB, ROBIN ANNETTE (CDCA, RA)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:ANNETTE
Last Name:WEBB
Suffix:
Gender:F
Credentials:CDCA, RA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18003 WOODSFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43724-1391
Mailing Address - Country:US
Mailing Address - Phone:740-732-5988
Mailing Address - Fax:
Practice Address - Street 1:18003 WOODSFIELD RD
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:OH
Practice Address - Zip Code:43724-1391
Practice Address - Country:US
Practice Address - Phone:740-732-5988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-05
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
OHRA161984405300000X
OH170566101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No405300000XOther Service ProvidersPrevention Professional