Provider Demographics
NPI:1629155437
Name:ROBB, LAURA-ANN (LCSW, CASAC)
Entity Type:Individual
Prefix:MS
First Name:LAURA-ANN
Middle Name:
Last Name:ROBB
Suffix:
Gender:F
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 W 99TH ST
Mailing Address - Street 2:APT 505
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5434
Mailing Address - Country:US
Mailing Address - Phone:212-316-1912
Mailing Address - Fax:
Practice Address - Street 1:231 W 96TH ST
Practice Address - Street 2:APT 2B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6311
Practice Address - Country:US
Practice Address - Phone:646-753-2879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18998101YA0400X
NY0671261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY075610OtherLCSW
NY18998OtherCASAC
NY075610OtherLCSW