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NPI 1285874842

NPI 1285874842 : CHARLENE HEATHER ROBINSON LCSW : BATH, NY

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General NPI Number Information
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    NPI Number           |    1285874842
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    Entity Type          |    Individual 
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    Provider Name        |    CHARLENE HEATHER ROBINSON LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/23/2009
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    Last Update Date     |    01/29/2026
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Provider Practice Location Address
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    Address Line         |    209 LIBERTY ST 
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    City                 |    BATH
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    State                |    NY
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    Zip                  |    14810-1124
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    Country              |    US
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    Telephone            |    607-936-1771
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    Fax                  |    607-662-5044
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Provider Business Mailing Address
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    Address Line         |    33 DENISON PKWY W 
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    City                 |    CORNING
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    State                |    NY
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    Zip                  |    14830-2613
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    Country              |    US
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    Telephone            |    607-936-1771
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    Fax                  |    607-662-5044
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041S0200X
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    Taxonomy Name        |    School Social Worker
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    License Number       |    673026
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    083200-1
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    075713-1
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    License Number State |    NY
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