Provider Demographics
NPI:1932368966
Name:OSBORNE, ROBIN LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN
Last Name:OSBORNE
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 1:1314 MAIN ST
Mailing Address - Street 2:STE. 201
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1586
Mailing Address - Country:US
Mailing Address - Phone:303-520-6507
Mailing Address - Fax:
Practice Address - Street 1:1314 MAIN ST
Practice Address - Street 2:STE 201
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1586
Practice Address - Country:US
Practice Address - Phone:303-520-6507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical