Provider Demographics
NPI:1134418338
Name:SMITH, ROBIN AMY (LCSW)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:AMY
Last Name:SMITH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:AMY
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:702 KINGS COUNTRY BLVD
Mailing Address - Street 2:
Mailing Address - City:SCROGGINS
Mailing Address - State:TX
Mailing Address - Zip Code:75480-4103
Mailing Address - Country:US
Mailing Address - Phone:903-348-2906
Mailing Address - Fax:
Practice Address - Street 1:702 KINGS COUNTRY BLVD
Practice Address - Street 2:
Practice Address - City:SCROGGINS
Practice Address - State:TX
Practice Address - Zip Code:75480-4103
Practice Address - Country:US
Practice Address - Phone:903-348-2906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX518891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical