MEDICARE: ROBIN CALLOW MSW

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	LW61154297	WA

General Provider Information

NPI Number	:	1467880781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN CALLOW MSW

Provider Business Mailing Address
First Line	:	1030 N CENTER PKWY STE 110
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336-7160
Country	:	US
Telephone Number	:	509-735-5091
Fax Number	:	509-222-2223

Provider Business Practice Location Address
First Line	:	1030 N CENTER PKWY STE 110
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336-7160
Country	:	US
Telephone Number	:	509-735-5091
Fax Number	:	888-356-0951

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

Provider Enumeration Date	:	10/23/2013
Last Update Date	:	05/12/2025

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