Healthcare Provider Details

I. General information

NPI: 1043571060
Provider Name (Legal Business Name): LATOIYA TEAONNA ROBINSON-HENRY MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2012
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 PEBBLEBROOK
WINDSOR CT
06095-1341
US

IV. Provider business mailing address

83 PEBBLEBROOK
WINDSOR CT
06095-1341
US

V. Phone/Fax

Practice location:
  • Phone: 860-365-1015
  • Fax:
Mailing address:
  • Phone: 860-365-1015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16909
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: