Provider Demographics
NPI:1720057458
Name:MARRERO, ROBIN BRACY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:BRACY
Last Name:MARRERO
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 1:9270 SIEGEN LN
Mailing Address - Street 2:SUITE 501
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-1998
Mailing Address - Country:US
Mailing Address - Phone:225-761-9001
Mailing Address - Fax:225-767-7789
Practice Address - Street 1:9270 SIEGEN LN
Practice Address - Street 2:SUITE 501
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-1998
Practice Address - Country:US
Practice Address - Phone:225-761-9001
Practice Address - Fax:225-767-7789
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA43891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical