Healthcare Provider Details

I. General information

NPI: 1285169276
Provider Name (Legal Business Name): LAKEISHA ROBINSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2017
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 ACADEMY DR
SPRINGHILL LA
71075-4911
US

IV. Provider business mailing address

159 ACADEMY DR
SPRINGHILL LA
71075-4911
US

V. Phone/Fax

Practice location:
  • Phone: 262-770-5184
  • Fax: 877-703-2993
Mailing address:
  • Phone: 262-687-2222
  • Fax: 877-703-2993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8711
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number19293
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11400C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: