Provider Demographics
NPI:1194096453
Name:ROBINSON, CHARITY S
Entity type:Individual
Prefix:MS
First Name:CHARITY
Middle Name:S
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 E 88TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-1198
Mailing Address - Country:US
Mailing Address - Phone:918-809-0834
Mailing Address - Fax:
Practice Address - Street 1:2614 E 88TH ST APT 3
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-1198
Practice Address - Country:US
Practice Address - Phone:918-809-0834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker