Provider Demographics
NPI:1770723181
Name:ROBINSON, KIMBERLY BETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:BETH
Last Name:ROBINSON
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 1:33 GREGORY STREET
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949
Mailing Address - Country:US
Mailing Address - Phone:978-774-5844
Mailing Address - Fax:978-774-6446
Practice Address - Street 1:33 GREGORY ST
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949-1510
Practice Address - Country:US
Practice Address - Phone:978-774-5844
Practice Address - Fax:978-774-6446
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2146251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical