Provider Demographics
NPI:1891912143
Name:ROBERT, VIOLET ANTOINETTE (LCSW)
Entity Type:Individual
Prefix:
First Name:VIOLET
Middle Name:ANTOINETTE
Last Name:ROBERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22189 13TH ST
Mailing Address - Street 2:
Mailing Address - City:ABITA SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70420
Mailing Address - Country:US
Mailing Address - Phone:985-789-9617
Mailing Address - Fax:
Practice Address - Street 1:112 INWOOD DR.
Practice Address - Street 2:SUITE H
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433
Practice Address - Country:US
Practice Address - Phone:985-893-0693
Practice Address - Fax:985-790-7090
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA54571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical