Provider Demographics
NPI:1124466180
Name:ROBINSON, ADRIANNE M (LCAS, LCSW)
Entity type:Individual
Prefix:MS
First Name:ADRIANNE
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LCAS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3304 GLEN CURRIN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4312
Mailing Address - Country:US
Mailing Address - Phone:919-632-6775
Mailing Address - Fax:919-590-1712
Practice Address - Street 1:152 CAPCOM AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-6586
Practice Address - Country:US
Practice Address - Phone:919-632-6775
Practice Address - Fax:919-590-1712
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-11
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2672101YM0800X
NCC0083441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health