Provider Demographics
NPI:1538332929
Name:ROBINSON, MARIAN (DSW, LCSW)
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3806 BENSALEM BLVD APT 254
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-4725
Mailing Address - Country:US
Mailing Address - Phone:215-834-3982
Mailing Address - Fax:215-245-1960
Practice Address - Street 1:3806 BENSALEM BLVD APT 254
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-4725
Practice Address - Country:US
Practice Address - Phone:215-834-3982
Practice Address - Fax:215-245-1960
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD298041041C0700X
NJ44SC055619001041C0700X
DCLC2000018051041C0700X
VA09040142081041C0700X
PACW0179101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical