Healthcare Provider Details

I. General information

NPI: 1225165574
Provider Name (Legal Business Name): ELEANOR FRANCES ROBBINS MSW LISW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 SOUTH ST FRANCIS DRIVE SUITE 201
SANTA FE NM
87505
US

IV. Provider business mailing address

1435 SOUTH ST FRANCIS DRIVE SUITE 201
SANTA FE NM
87505
US

V. Phone/Fax

Practice location:
  • Phone: 505-984-2544
  • Fax:
Mailing address:
  • Phone: 505-984-2544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI-0152
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS 7629 INACTIVE
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: