Provider Demographics
NPI:1881637197
Name:GROSS, ROBIN LOUISE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LOUISE
Last Name:GROSS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:LOUISE
Other - Last Name:CROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6902 MISTY BRK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-1747
Mailing Address - Country:US
Mailing Address - Phone:210-286-5982
Mailing Address - Fax:
Practice Address - Street 1:6902 MISTY BRK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-1747
Practice Address - Country:US
Practice Address - Phone:210-286-5982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX313491041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical