Provider Demographics
NPI:1750361358
Name:ROBINSON, MICHAEL (RC, LBSW)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:RC, LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 KITTITAS ST
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-3603
Mailing Address - Country:US
Mailing Address - Phone:509-662-5131
Mailing Address - Fax:
Practice Address - Street 1:113 2ND ST
Practice Address - Street 2:SUITE 300
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2284
Practice Address - Country:US
Practice Address - Phone:509-662-5131
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00048282101YP2500X
TX22887104100000X
WANC10088127376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered376K00000XNursing Service Related ProvidersNurse's Aide