Provider Demographics
NPI:1871379222
Name:ROBINETTE, TAMARA JUNE (LSCSW)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:JUNE
Last Name:ROBINETTE
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 S CANYON DR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-9203
Mailing Address - Country:US
Mailing Address - Phone:913-221-2621
Mailing Address - Fax:
Practice Address - Street 1:125 S CANYON DR
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-9203
Practice Address - Country:US
Practice Address - Phone:913-221-6261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical