Provider Demographics
NPI:1144957507
Name:ROBINSON, PATRICIA H (LCSW)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:H
Last Name:ROBINSON
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:PO BOX 7554
Mailing Address - Street 2:
Mailing Address - City:OCEAN PARK
Mailing Address - State:ME
Mailing Address - Zip Code:04063-7554
Mailing Address - Country:US
Mailing Address - Phone:207-400-9365
Mailing Address - Fax:
Practice Address - Street 1:155 SACO AVE STE 2A
Practice Address - Street 2:
Practice Address - City:OLD ORCHARD BEACH
Practice Address - State:ME
Practice Address - Zip Code:04064-1623
Practice Address - Country:US
Practice Address - Phone:207-937-8254
Practice Address - Fax:207-937-8529
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC108111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical