Provider Demographics
NPI:1043306004
Name:ROBINSON, MAUREEN ELAINE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:ELAINE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:938 BLUE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-8114
Mailing Address - Country:US
Mailing Address - Phone:607-756-7316
Mailing Address - Fax:
Practice Address - Street 1:49 GRANT ST
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-2136
Practice Address - Country:US
Practice Address - Phone:607-753-6751
Practice Address - Fax:607-756-4306
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPO59573-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical