Healthcare Provider Details

I. General information

NPI: 1750361358
Provider Name (Legal Business Name): MICHAEL ROBINSON R.C., L.B.S.W.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 2ND ST SUITE 300
WENATCHEE WA
98801-2284
US

IV. Provider business mailing address

1100 KITTITAS ST
WENATCHEE WA
98801-3603
US

V. Phone/Fax

Practice location:
  • Phone: 509-662-5131
  • Fax:
Mailing address:
  • Phone: 509-662-5131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberRC00048282
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number22887
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberNC10088127
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: