Provider Demographics
NPI:1750104394
Name:ROBBINS, BLYTHE (LMSW)
Entity type:Individual
Prefix:MS
First Name:BLYTHE
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 PIERMONT PL
Mailing Address - Street 2:
Mailing Address - City:PIERMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10968-1105
Mailing Address - Country:US
Mailing Address - Phone:415-254-3486
Mailing Address - Fax:
Practice Address - Street 1:1 CHASE RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4156
Practice Address - Country:US
Practice Address - Phone:914-901-3520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123998-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical