Provider Demographics
NPI:1447437397
Name:ROBINSON, ROSINA MARIE (MSW)
Entity type:Individual
Prefix:
First Name:ROSINA
Middle Name:MARIE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ROSINA
Other - Middle Name:MARIE
Other - Last Name:ALDRICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1228 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350-3525
Mailing Address - Country:US
Mailing Address - Phone:219-258-4163
Mailing Address - Fax:219-209-5691
Practice Address - Street 1:245 W JOHNSON RD
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-2026
Practice Address - Country:US
Practice Address - Phone:219-258-4163
Practice Address - Fax:219-209-5691
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005879A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical