Provider Demographics
NPI:1649376328
Name:ZABORNIAK, ROBBIN PHELPS (LISW)
Entity type:Individual
Prefix:MS
First Name:ROBBIN
Middle Name:PHELPS
Last Name:ZABORNIAK
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11227 FOREST LANE AVE
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-9116
Mailing Address - Country:US
Mailing Address - Phone:614-833-2874
Mailing Address - Fax:
Practice Address - Street 1:38 N CENTER ST
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-1203
Practice Address - Country:US
Practice Address - Phone:614-920-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00084111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRO9339921Medicare ID - Type UnspecifiedSWK