MEDICARE: MS. MONIFA ROBINSON LCSW

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	CSW003464	GA
2	1041C0700X	Clinical Social Worker	12727	SC

General Provider Information

NPI Number	:	1598916074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MONIFA ROBINSON LCSW

Provider Business Mailing Address
First Line	:	5733 AVERA LN
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-6422
Country	:	US
Telephone Number	:	404-836-0956
Fax Number	:

Provider Business Practice Location Address
First Line	:	5733 AVERA LN
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-6422
Country	:	US
Telephone Number	:	404-836-0956
Fax Number	:

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

Provider Enumeration Date	:	10/02/2008
Last Update Date	:	02/03/2026

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