Provider Demographics
NPI:1780014589
Name:BARRETT, ROBIN (MSW LICSW)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 W SUPERIOR ST
Mailing Address - Street 2:STE 300
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-1701
Mailing Address - Country:US
Mailing Address - Phone:218-740-3061
Mailing Address - Fax:218-740-3044
Practice Address - Street 1:324 W SUPERIOR ST
Practice Address - Street 2:STE 300
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-1701
Practice Address - Country:US
Practice Address - Phone:218-740-3061
Practice Address - Fax:218-740-3044
Is Sole Proprietor?:No
Enumeration Date:2013-11-15
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN207921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical