Provider Demographics
NPI:1568659316
Name:ROBIN WESTBY, INC.
Entity Type:Organization
Organization Name:ROBIN WESTBY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:WESTBY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:425-303-0711
Mailing Address - Street 1:2230 RUCKER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-2772
Mailing Address - Country:US
Mailing Address - Phone:425-303-0711
Mailing Address - Fax:425-252-4245
Practice Address - Street 1:2230 RUCKER AVE STE 100
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-2772
Practice Address - Country:US
Practice Address - Phone:425-303-0711
Practice Address - Fax:425-252-4245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000058441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8803521Medicare UPIN