Provider Demographics
NPI:1265539951
Name:ELSNER, ROBIN GERALD (MSW LCSW)
Entity type:Individual
Prefix:MR
First Name:ROBIN
Middle Name:GERALD
Last Name:ELSNER
Suffix:
Gender:M
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MARINETTE COUNTY HEALTH AND HUMAN SERVICES
Mailing Address - Street 2:2500 HALL AVE SUITE A
Mailing Address - City:MARINETTE
Mailing Address - State:WI
Mailing Address - Zip Code:54143
Mailing Address - Country:US
Mailing Address - Phone:715-732-7760
Mailing Address - Fax:715-732-7711
Practice Address - Street 1:MARINETTE COUNTY HEALTH AND HUMAN SERVICES
Practice Address - Street 2:2500 HALL AVE SUITE A
Practice Address - City:MARINETTE
Practice Address - State:WI
Practice Address - Zip Code:54143
Practice Address - Country:US
Practice Address - Phone:715-732-7760
Practice Address - Fax:715-732-7711
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4213123101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39368100Medicaid
WI4213123OtherLICENSE #
WI4213123OtherLICENSE #