Healthcare Provider Details

I. General information

NPI: 1720579907
Provider Name (Legal Business Name): ROBBIN DAY BROOKS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2018
Last Update Date: 05/12/2021
Certification Date: 04/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 N ALMA SCHOOL ROAD SUITE 11
CHANDLER AZ
85224
US

IV. Provider business mailing address

PO BOX 11894
GLENDALE AZ
85318-1894
US

V. Phone/Fax

Practice location:
  • Phone: 602-301-0597
  • Fax:
Mailing address:
  • Phone: 602-301-0597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLMSW-19316
License Number StateAZ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: