Provider Demographics
NPI:1639626328
Name:ROBINSON, MEAGAN
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320 TOPANGA CANYON BLVD
Mailing Address - Street 2:STE 1630-1056
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2299
Mailing Address - Country:US
Mailing Address - Phone:818-527-6399
Mailing Address - Fax:
Practice Address - Street 1:6320 TOPANGA CANYON BLVD.
Practice Address - Street 2:STE 1630-1056
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2299
Practice Address - Country:US
Practice Address - Phone:818-527-6399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-09
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAACSW778601041C0700X
CALCSW1019081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical