Provider Demographics
NPI:1942243480
Name:ROBINSON, BARBARA A (MSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
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 1:2235 E 25TH ST STE 290
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-7595
Mailing Address - Country:US
Mailing Address - Phone:208-612-2272
Mailing Address - Fax:208-552-2518
Practice Address - Street 1:2235 E 25TH ST STE 290
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404-7595
Practice Address - Country:US
Practice Address - Phone:208-612-2272
Practice Address - Fax:208-552-2518
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-7551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical