Healthcare Provider Details

I. General information

NPI: 1972417038
Provider Name (Legal Business Name): JESSICA ROBINSON MA, MSW, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1628 CHEW ST FL 3
ALLENTOWN PA
18102-3649
US

IV. Provider business mailing address

2100 MACK BLVD FL 4
ALLENTOWN PA
18103-5622
US

V. Phone/Fax

Practice location:
  • Phone: 610-969-2529
  • Fax: 610-969-4332
Mailing address:
  • Phone: 484-884-4500
  • Fax: 484-884-0699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020971
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: