Provider Demographics
NPI:1457691578
Name:ALFARO, ROBIN ANITA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:ANITA
Last Name:ALFARO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:ANITA
Other - Last Name:SARAVIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1822 SEIGNEUR AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90032-4025
Mailing Address - Country:US
Mailing Address - Phone:213-444-9081
Mailing Address - Fax:
Practice Address - Street 1:1822 SEIGNEUR AVE UNIT A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90032-4025
Practice Address - Country:US
Practice Address - Phone:213-444-9081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW63105101Y00000X, 101YM0800X
CAASW96989101YM0800X
390200000X
CA1190281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program