Provider Demographics
NPI:1740360304
Name:BROOKS, ROBIN BERNAL (MSW)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:BERNAL
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:611 S PALM CANYON DR
Mailing Address - Street 2:#7-328
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-7213
Mailing Address - Country:US
Mailing Address - Phone:510-414-9222
Mailing Address - Fax:
Practice Address - Street 1:611 S PALM CANYON DR
Practice Address - Street 2:#7-328
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-7213
Practice Address - Country:US
Practice Address - Phone:760-656-7056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 118331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical