Healthcare Provider Details

I. General information

NPI: 1851552384
Provider Name (Legal Business Name): ROBBIN KLEIN LCSW, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2008
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 162
LENA IL
61048-0162
US

IV. Provider business mailing address

PO BOX 162
LENA IL
61048-0162
US

V. Phone/Fax

Practice location:
  • Phone: 815-266-1166
  • Fax:
Mailing address:
  • Phone: 815-266-1166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number23609
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.01430
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: