MEDICARE: MARIAN ROBINSON DSW, 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	29804	MD
2	1041C0700X	Clinical Social Worker	44SC05561900	NJ
3	1041C0700X	Clinical Social Worker	LC200001805	DC
4	1041C0700X	Clinical Social Worker	0904014208	VA
5	1041C0700X	Clinical Social Worker	CW017910	PA

General Provider Information

NPI Number	:	1538332929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAN ROBINSON DSW, LCSW

Provider Business Mailing Address
First Line	:	3806 BENSALEM BLVD APT 254
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020-4725
Country	:	US
Telephone Number	:	215-834-3982
Fax Number	:	215-245-1960

Provider Business Practice Location Address
First Line	:	3806 BENSALEM BLVD APT 254
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020-4725
Country	:	US
Telephone Number	:	215-834-3982
Fax Number	:	215-245-1960

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

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	05/10/2024

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