Provider Demographics
NPI:1245280585
Name:BARBERA, ROBIN BONAN (LCSW)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:BONAN
Last Name:BARBERA
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 1:9460 EL CLAIR RANCH RD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3315
Mailing Address - Country:US
Mailing Address - Phone:561-374-8903
Mailing Address - Fax:561-735-4881
Practice Address - Street 1:1499 FOREST HILL BLVD
Practice Address - Street 2:SUITE 115
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-6050
Practice Address - Country:US
Practice Address - Phone:561-374-8903
Practice Address - Fax:561-735-4881
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW62771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE6707Medicare ID - Type Unspecified