Provider Demographics
NPI:1457400178
Name:NORTON, ROBIN ALBRIGHT (LCSW)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:ALBRIGHT
Last Name:NORTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:A
Other - Last Name:DELOACHE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:96029 BRADY POINT RD
Mailing Address - Street 2:
Mailing Address - City:FERNANDINA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32034-1190
Mailing Address - Country:US
Mailing Address - Phone:410-236-3067
Mailing Address - Fax:
Practice Address - Street 1:96029 BRADY POINT RD
Practice Address - Street 2:
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-1190
Practice Address - Country:US
Practice Address - Phone:410-236-3067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD108671041C0700X
FL152231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD13616OtherJOHNS HOPKINS HEALTHCARE
128132OtherAPS
MD003041OtherVALUOPTIONS
330067OtherUNITED BEHAVIORAL HEALTH
MD963RMedicare ID - Type Unspecified