Healthcare Provider Details

I. General information

NPI: 1154800928
Provider Name (Legal Business Name): RAYNA ALICIA ROBINSON RSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2018
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3604 CANAL ST
NEW ORLEANS LA
70119-6111
US

IV. Provider business mailing address

4260 E AMES BLVD
MARRERO LA
70072-6358
US

V. Phone/Fax

Practice location:
  • Phone: 504-822-4333
  • Fax:
Mailing address:
  • Phone: 504-881-3410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number16340
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: