Provider Demographics
NPI:1295729291
Name:POLLITZER, ROBIN LOVE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LOVE
Last Name:POLLITZER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:A
Other - Last Name:LOVE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW-R
Mailing Address - Street 1:196 DELAWARE AVENUE
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-1227
Mailing Address - Country:US
Mailing Address - Phone:518-439-0033
Mailing Address - Fax:518-439-7167
Practice Address - Street 1:196 DELAWARE AVENUE
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-1227
Practice Address - Country:US
Practice Address - Phone:518-439-0033
Practice Address - Fax:518-439-7167
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY068986-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY068986-1OtherLICENSED MASTER SOCIAL WK