Healthcare Provider Details

I. General information

NPI: 1508430984
Provider Name (Legal Business Name): ALEJANDRA ANGELICA ROBINSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 WALNUT AVE
VALLEJO CA
94592-1107
US

IV. Provider business mailing address

103 BODIN CIR BLDG 778
TRAVIS AFB CA
94535-1801
US

V. Phone/Fax

Practice location:
  • Phone: 925-586-2509
  • Fax:
Mailing address:
  • Phone: 925-586-2509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC011638
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW110382
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: