Provider Demographics
NPI:1801989835
Name:ROBINSON, TIKINNA LASHAN (LCSW)
Entity type:Individual
Prefix:MISS
First Name:TIKINNA
Middle Name:LASHAN
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 1:17 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-3405
Mailing Address - Country:US
Mailing Address - Phone:518-725-4310
Mailing Address - Fax:
Practice Address - Street 1:432 FRANKLIN STREET
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12305-1901
Practice Address - Country:US
Practice Address - Phone:518-745-0079
Practice Address - Fax:518-745-4291
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073289104100000X
NY0781261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker