Provider Demographics
NPI:1881792653
Name:WARSH, ROBIN (MSW)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:
Last Name:WARSH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 TURNPIKE ST STE 105
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-2353
Mailing Address - Country:US
Mailing Address - Phone:781-828-2071
Mailing Address - Fax:781-821-1743
Practice Address - Street 1:275 TURNPIKE ST STE 105
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-2353
Practice Address - Country:US
Practice Address - Phone:781-828-2071
Practice Address - Fax:781-821-1743
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA107635101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health