Provider Demographics
NPI:1245529346
Name:PADULA, ROBIN L (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:L
Last Name:PADULA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500B GRAND ST
Mailing Address - Street 2:9C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4168
Mailing Address - Country:US
Mailing Address - Phone:917-880-8750
Mailing Address - Fax:
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:6W55
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-562-2212
Practice Address - Fax:212-562-4170
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019991104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker