MEDICARE: JEROME ROBINSON ED.S, LPC, LCADC

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	101YP2500X	Professional Counselor	37PC00303500	NJ

General Provider Information

NPI Number	:	1598600827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEROME ROBINSON ED.S, LPC, LCADC

Provider Business Mailing Address
First Line	:	322 E 5TH ST
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-3415
Country	:	US
Telephone Number	:	609-577-4310
Fax Number	:	609-371-8481

Provider Business Practice Location Address
First Line	:	322 E 5TH ST
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-3415
Country	:	US
Telephone Number	:	609-577-4310
Fax Number	:	609-371-8481

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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