Healthcare Provider Details

I. General information

NPI: 1861511925
Provider Name (Legal Business Name): ANN ELISA ROBINSON MA, CAC, CCDP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6122 RIDGE AVE
PHILADELPHIA PA
19128-1603
US

IV. Provider business mailing address

810 WINDSOR DR
CINNAMINSON NJ
08077-3717
US

V. Phone/Fax

Practice location:
  • Phone: 215-487-1330
  • Fax: 215-487-1641
Mailing address:
  • Phone: 609-217-4627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: