Healthcare Provider Details

I. General information

NPI: 1568008894
Provider Name (Legal Business Name): CAROLINE S ROBBOY MSW, CAS, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2019
Last Update Date: 11/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 S 6TH ST STE C33
PHILA PA
19106-3763
US

IV. Provider business mailing address

233 S 6TH ST APT C31
PHILADELPHIA PA
19106-3748
US

V. Phone/Fax

Practice location:
  • Phone: 267-324-9564
  • Fax:
Mailing address:
  • Phone: 267-324-9564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW013529
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: