Provider Demographics
NPI:1891802229
Name:DOBBINS, RICHARD MARVIN (MSW/LCSW)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:MARVIN
Last Name:DOBBINS
Suffix:
Gender:M
Credentials:MSW/LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 AUDUBON CIR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-2971
Mailing Address - Country:US
Mailing Address - Phone:916-391-3121
Mailing Address - Fax:
Practice Address - Street 1:260 AUDUBON CIR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-2971
Practice Address - Country:US
Practice Address - Phone:916-391-3121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS0053971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical