Provider Demographics
NPI:1548513377
Name:ROBINSON, MICHELLE CROSIER (LCSW)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:CROSIER
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 1:5636 WHITESVILLE RD STE D1
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-3432
Mailing Address - Country:US
Mailing Address - Phone:980-500-9180
Mailing Address - Fax:704-496-2138
Practice Address - Street 1:5636 WHITESVILLE RD STE D1
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3432
Practice Address - Country:US
Practice Address - Phone:980-500-9180
Practice Address - Fax:704-496-2138
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-17
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0077921041C0700X
MA1169761041C0700X
MSC105551041C0700X
TN86151041C0700X
GACSW0069371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical