Healthcare Provider Details

I. General information

NPI: 1710841275
Provider Name (Legal Business Name): KIRSTEN J ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 LAS TABLAS RD STE 2
TEMPLETON CA
93465-9792
US

IV. Provider business mailing address

421 E SAN MATEO ST
AVENAL CA
93204-1033
US

V. Phone/Fax

Practice location:
  • Phone: 559-328-8221
  • Fax:
Mailing address:
  • Phone: 559-328-8221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW99629
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: