Provider Demographics
NPI:1588209415
Name:NEIL-ROBINSON, TENISHA (LCSW)
Entity Type:Individual
Prefix:
First Name:TENISHA
Middle Name:
Last Name:NEIL-ROBINSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3758 OLD JEFFERSON VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SHRUB OAK
Mailing Address - State:NY
Mailing Address - Zip Code:10588-1304
Mailing Address - Country:US
Mailing Address - Phone:914-565-0488
Mailing Address - Fax:
Practice Address - Street 1:ROCKLAND BOCES
Practice Address - Street 2:65 PARROTT ROAD
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994
Practice Address - Country:US
Practice Address - Phone:845-624-5587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool