Provider Demographics
NPI:1861941577
Name:ROBINSON, KERRI NICHOLE (BSW)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:NICHOLE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:NICHOLE
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSW
Mailing Address - Street 1:145 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:IRON CITY
Mailing Address - State:GA
Mailing Address - Zip Code:39859-2121
Mailing Address - Country:US
Mailing Address - Phone:222-920-5157
Mailing Address - Fax:229-774-2779
Practice Address - Street 1:145 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:IRON CITY
Practice Address - State:GA
Practice Address - Zip Code:39859-2121
Practice Address - Country:US
Practice Address - Phone:222-920-5157
Practice Address - Fax:229-774-2779
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor