Healthcare Provider Details

I. General information

NPI: 1265539951
Provider Name (Legal Business Name): ROBIN GERALD ELSNER MSW LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 02/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MARINETTE COUNTY HEALTH AND HUMAN SERVICES 2500 HALL AVE SUITE A
MARINETTE WI
54143
US

IV. Provider business mailing address

MARINETTE COUNTY HEALTH AND HUMAN SERVICES 2500 HALL AVE SUITE A
MARINETTE WI
54143
US

V. Phone/Fax

Practice location:
  • Phone: 715-732-7760
  • Fax: 715-732-7711
Mailing address:
  • Phone: 715-732-7760
  • Fax: 715-732-7711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4213123
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: