Healthcare Provider Details

I. General information

NPI: 1528704053
Provider Name (Legal Business Name): ROBYN FAYE AUSLANDER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

992 GREAT PLAIN AVE STE 22
NEEDHAM MA
02492-2524
US

IV. Provider business mailing address

1404 STEARNS HILL RD
WALTHAM MA
02451-3331
US

V. Phone/Fax

Practice location:
  • Phone: 781-400-2641
  • Fax:
Mailing address:
  • Phone: 508-244-1325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW2143672
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: