Healthcare Provider Details

I. General information

NPI: 1861319931
Provider Name (Legal Business Name): ROBIN JENNIFER JIMENEZ-BEAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2770 GARDEN DR S APT 205
LAKE WORTH FL
33461-6213
US

IV. Provider business mailing address

2770 GARDEN DR S APT 205
LAKE WORTH FL
33461-6213
US

V. Phone/Fax

Practice location:
  • Phone: 561-228-9151
  • Fax:
Mailing address:
  • Phone: 561-228-9151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW26783
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: