Provider Demographics
NPI:1942291430
Name:ROBLIN, MARJORIE L (LICSW)
Entity Type:Individual
Prefix:MS
First Name:MARJORIE
Middle Name:L
Last Name:ROBLIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BROOKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-5103
Mailing Address - Country:US
Mailing Address - Phone:401-942-5093
Mailing Address - Fax:401-942-5093
Practice Address - Street 1:15 BROOKWOOD RD
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-5103
Practice Address - Country:US
Practice Address - Phone:401-942-5093
Practice Address - Fax:401-942-5093
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW 001901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
9432 6OtherBC BS
178699OtherMAGLLN
1028950OtherBEACON
26292OtherVALUE OPT
6221642OtherUHC UBH
S69009Medicare UPIN