Grossman, Robin Marlene
Grossman, Robin Marlene is an individual health care provider with primary practice located at 3356 Second Ave Suite A, San Diego CA 92103. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Grossman, Robin Marlene can be contacted via phone (619) 237-7333.Contact Information
Primary practice address
3356 Second Ave Suite A
San Diego CA 92103
Phone: (619) 237-7333
Fax: (619) 298-1478
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | LCS15404 | California |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC25527 | California |
Profile Details
NPI number | 1487634895 |
---|---|
LBN Legal business name | Grossman, Robin Marlene |
Credentials | LCSW LMFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 20th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487634895 | NPPES |
California | Other | ZZZ309672 | BLUE SHIELD |
California | MEDICAID | CSW154040 | BLUE SHIELD |
California | Other | 049901 | BLUE SHIELD |
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