Provider Demographics
NPI:1720171390
Name:ROBINS, STEPHANIE ISAACS (LCSW)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ISAACS
Last Name:ROBINS
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 1:4651 WOODSTOCK RD
Mailing Address - Street 2:SUITE 208-265
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-1698
Mailing Address - Country:US
Mailing Address - Phone:404-849-5505
Mailing Address - Fax:770-726-9555
Practice Address - Street 1:3207 S CHEROKEE LN
Practice Address - Street 2:SUITE 440
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-7024
Practice Address - Country:US
Practice Address - Phone:404-849-5505
Practice Address - Fax:770-726-9555
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0031041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical