Provider Demographics
NPI:1912130626
Name:ABERCROMBIE, ROBIN R (LSCSW)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:R
Last Name:ABERCROMBIE
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:R
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSCSW
Mailing Address - Street 1:1819 11TH ST
Mailing Address - Street 2:
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-4511
Mailing Address - Country:US
Mailing Address - Phone:620-603-6257
Mailing Address - Fax:620-602-6259
Practice Address - Street 1:1819 11TH ST
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-4511
Practice Address - Country:US
Practice Address - Phone:620-603-6257
Practice Address - Fax:620-603-6259
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS42221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical