Provider Demographics
NPI:1639967425
Name:HOLT, ROBYN (LSW)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:HOLT
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 S ATLANTIC AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2255
Mailing Address - Country:US
Mailing Address - Phone:908-331-3141
Mailing Address - Fax:
Practice Address - Street 1:646 NJ-18
Practice Address - Street 2:BLDG. A, STE. 105
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816
Practice Address - Country:US
Practice Address - Phone:732-718-8249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker