Provider Demographics
NPI:1760825970
Name:ROBINSON, SHERRY LYNN (MSW)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:LYNN
Last Name:ROBINSON
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 1:1113 E FRANKLIN AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-2977
Mailing Address - Country:US
Mailing Address - Phone:612-721-0331
Mailing Address - Fax:612-729-6035
Practice Address - Street 1:1113 E FRANKLIN AVE STE 203
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2977
Practice Address - Country:US
Practice Address - Phone:612-721-0331
Practice Address - Fax:612-729-6035
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN201201104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker