MEDICARE: MRS. LEONA ANNTONETTE ROBINSON-PIERRE

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	104100000X	Social Worker		FL
2	1041C0700X	Clinical Social Worker	ISW17382	FL

General Provider Information

NPI Number	:	1437919818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LEONA ANNTONETTE ROBINSON-PIERRE

Provider Business Mailing Address
First Line	:	1074 CASTILE RD SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-3847
Country	:	US
Telephone Number	:	954-683-2799
Fax Number	:

Provider Business Practice Location Address
First Line	:	1074 CASTILE RD SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-3847
Country	:	US
Telephone Number	:	954-683-2799
Fax Number	:

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

Provider Enumeration Date	:	03/21/2024
Last Update Date	:	03/21/2024

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