MEDICARE: MS. ROBIN C ADLER MSW, LICSW

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	079003	NY
2	1041C0700X	Clinical Social Worker	LW00008096	WA

General Provider Information

NPI Number	:	1942426457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROBIN C ADLER MSW, LICSW

Provider Business Mailing Address
First Line	:	257 15TH ST APT 203
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-8701
Country	:	US
Telephone Number	:	206-794-9625
Fax Number	:	206-826-9150

Provider Business Practice Location Address
First Line	:	257 15TH ST APT 203
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-8701
Country	:	US
Telephone Number	:	206-794-9625
Fax Number	:	206-826-9150

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	04/10/2019

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