MEDICARE: GAYLE J ROBINSON MS, LPCC, LISW

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	E3153	OH
2	1041C0700X	Clinical Social Worker	S17434	OH

General Provider Information

NPI Number	:	1225252208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAYLE J ROBINSON MS, LPCC, LISW

Provider Business Mailing Address
First Line	:	15 E PLEASANT ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45506-2201
Country	:	US
Telephone Number	:	937-325-5564
Fax Number	:	937-325-8727

Provider Business Practice Location Address
First Line	:	15 E PLEASANT ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45506-2201
Country	:	US
Telephone Number	:	937-325-5564
Fax Number	:	937-325-8727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	09/11/2025

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