Provider Demographics
NPI:1932370129
Name:SKOGG, ROBIN WENDY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:WENDY
Last Name:SKOGG
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 1:2215 NEWOAK PARK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5903
Mailing Address - Country:US
Mailing Address - Phone:210-875-0741
Mailing Address - Fax:830-981-8104
Practice Address - Street 1:2215 NEWOAK PARK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5903
Practice Address - Country:US
Practice Address - Phone:210-875-0741
Practice Address - Fax:830-981-8104
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX183001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical