Provider Demographics
NPI:1871706994
Name:COLLINS-ROBISON, DENISE (LMSW, SSW)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:COLLINS-ROBISON
Suffix:
Gender:F
Credentials:LMSW, SSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14402 BLUE SKIES ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-4931
Mailing Address - Country:US
Mailing Address - Phone:734-542-7742
Mailing Address - Fax:
Practice Address - Street 1:15370 LEVAN RD STE 2
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1903
Practice Address - Country:US
Practice Address - Phone:734-744-0170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010155811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical