Provider Demographics
NPI:1205972015
Name:ROBINSON-DOOLEY, VANESSA (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:
Last Name:ROBINSON-DOOLEY
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 SCENIC HWY STE 1701-329
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-6359
Mailing Address - Country:US
Mailing Address - Phone:770-322-4216
Mailing Address - Fax:
Practice Address - Street 1:1250 SCENIC HWY STE 1701-329
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-6359
Practice Address - Country:US
Practice Address - Phone:770-322-4216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW34301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical