Provider Demographics
NPI:1447470380
Name:SHIMEL-BINNS, ROBIN STEPHANIE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:STEPHANIE
Last Name:SHIMEL-BINNS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:STEPHANIE
Other - Last Name:SHIMEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:5 N COBANE TER
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-4011
Mailing Address - Country:US
Mailing Address - Phone:973-669-2963
Mailing Address - Fax:973-669-2936
Practice Address - Street 1:26 LINDEN AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1834
Practice Address - Country:US
Practice Address - Phone:973-379-1350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCOO4310001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical