Provider Demographics
NPI:1598932311
Name:ROBINSON, CAROLYN FLOYD (LCAS, CCS, LCSWA)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:FLOYD
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LCAS, CCS, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-3351
Mailing Address - Country:US
Mailing Address - Phone:910-479-3350
Mailing Address - Fax:910-479-3371
Practice Address - Street 1:107 OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-3351
Practice Address - Country:US
Practice Address - Phone:910-479-3350
Practice Address - Fax:910-479-3371
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0165701041C0700X
NC1277101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6112024Medicaid