MEDICARE: ROBIN SHAPIRO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1063067213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBIN SHAPIRO LLC

Provider Business Mailing Address
First Line	:	6203 28TH AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-7117
Country	:	US
Telephone Number	:	206-799-5933
Fax Number	:

Provider Business Practice Location Address
First Line	:	6203 28TH AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-7117
Country	:	US
Telephone Number	:	206-799-5933
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBIN GAIL SHAPIRO
Credential	:
Telephone Number	:	206-527-0693

Provider Enumeration Date	:	08/05/2019
Last Update Date	:	08/05/2019

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