MEDICARE: MS. NANCY LYN ROBINSON-BERRY LCSW

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	1041C0700X	Clinical Social Worker	51142	TX

General Provider Information

NPI Number	:	1366630204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY LYN ROBINSON-BERRY LCSW

Provider Business Mailing Address
First Line	:	330 THURMAN AVE APT A
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43206-3590
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1403 S 4TH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-1010
Country	:	US
Telephone Number	:	330-464-0364
Fax Number	:

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

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	10/14/2024

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