Provider Demographics
NPI:1629177787
Name:GILMARTIN, ROBIN MARY (MSW)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:MARY
Last Name:GILMARTIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DUNCASTER RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-1504
Mailing Address - Country:US
Mailing Address - Phone:860-242-4832
Mailing Address - Fax:869-594-6364
Practice Address - Street 1:555 WILLARD AVE
Practice Address - Street 2:MHC, BLDG 1, 3RD FLOOR
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-2631
Practice Address - Country:US
Practice Address - Phone:860-594-6335
Practice Address - Fax:860-594-6364
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0042741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical