Healthcare Provider Details

I. General information

NPI: 1780740621
Provider Name (Legal Business Name): ROBIN LYNN JAMES LCSWR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 11/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SAMSONVILLE RD
KERHONKSON NY
12446-2651
US

IV. Provider business mailing address

135 SPORTSMAN RD
NAPANOCH NY
12458-2302
US

V. Phone/Fax

Practice location:
  • Phone: 845-430-8065
  • Fax: 845-626-1155
Mailing address:
  • Phone: 845-430-8065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR0369021
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: