Provider Demographics
NPI:1982173365
Name:MATTHEWS-ROBINSON, DEBRA SUE (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:SUE
Last Name:MATTHEWS-ROBINSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:SUE
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:414 DRYDEN CIR
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32926-2484
Mailing Address - Country:US
Mailing Address - Phone:321-961-4578
Mailing Address - Fax:
Practice Address - Street 1:414 DRYDEN CIR
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32926-2484
Practice Address - Country:US
Practice Address - Phone:321-961-4578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW8464104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker