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NPI Code Detail

MEDICARE: ALEXIS KUNDIGUNDA ROBINSON ASW

MEDICARE: ALEXIS KUNDIGUNDA ROBINSON ASW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker121355CA
2104100000XSocial Worker121355CA

General Provider Information

NPI Number : 1164227310
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS KUNDIGUNDA ROBINSON ASW
Provider Business Mailing Address
First Line : 252 LOCKHEED AVE
Second Line :
City : CHICO
State : CA
Zip : 95973-9026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 630 BETTY BELLE LN
Second Line :
City : CHICO
State : CA
Zip : 95973-8702
Country : US
Telephone Number : 530-636-5472
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2025
Last Update Date : 05/11/2026

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