Provider Demographics
NPI:1336423110
Name:ROBINSON, TOMMIE LOU (LCSW)
Entity Type:Individual
Prefix:
First Name:TOMMIE
Middle Name:LOU
Last Name:ROBINSON
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 1:348 DERRY DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5829
Mailing Address - Country:US
Mailing Address - Phone:970-290-2865
Mailing Address - Fax:
Practice Address - Street 1:221 E 29TH ST STE 102
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2721
Practice Address - Country:US
Practice Address - Phone:970-203-7050
Practice Address - Fax:970-203-7055
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-28
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX556471041C0700X
COCSW.009928671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical