Healthcare Provider Details

I. General information

NPI: 1760936611
Provider Name (Legal Business Name): ROBIN ELIZABETH ARNETT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2016
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56880 VENTURE LANE SUITE 104N, PMB1018
SUNRIVER OR
97707
US

IV. Provider business mailing address

56880 VENTURE LANE SUITE 104N, PMB1018
SUNRIVER OR
97707
US

V. Phone/Fax

Practice location:
  • Phone: 303-919-2198
  • Fax:
Mailing address:
  • Phone: 303-919-2198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

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: