Provider Demographics
NPI:1295285567
Name:ADMIRE, ROBYN E (LCSW)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:E
Last Name:ADMIRE
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:PO BOX 6811
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87197-6811
Mailing Address - Country:US
Mailing Address - Phone:505-738-3698
Mailing Address - Fax:
Practice Address - Street 1:1776 MONTANO RD NW BLDG 3
Practice Address - Street 2:
Practice Address - City:LOS RANCHOS
Practice Address - State:NM
Practice Address - Zip Code:87107-3248
Practice Address - Country:US
Practice Address - Phone:505-738-3698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-10
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-107211041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical