Provider Demographics
NPI:1760604524
Name:ROBINSON, KAREN L (LICSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 SCHOOL ST STE 207
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2318
Mailing Address - Country:US
Mailing Address - Phone:774-210-0206
Mailing Address - Fax:508-698-1051
Practice Address - Street 1:34 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-2339
Practice Address - Country:US
Practice Address - Phone:774-210-0206
Practice Address - Fax:508-698-1051
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10309541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP21469Medicare ID - Type UnspecifiedLICSW