Healthcare Provider Details

I. General information

NPI: 1598821993
Provider Name (Legal Business Name): STEVEN D ROBLES L.C.S.W.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 OAK ST.
DOBBS FERRY NY
10522
US

IV. Provider business mailing address

19 OAK ST
DOBBS FERRY NY
10522-1712
US

V. Phone/Fax

Practice location:
  • Phone: 914-693-6797
  • Fax: 914-693-6797
Mailing address:
  • Phone: 914-693-6797
  • Fax: 914-693-6797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPR012979
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: