Provider Demographics
NPI:1194122028
Name:ROBBINS, LUCILLE (LCSW)
Entity type:Individual
Prefix:MS
First Name:LUCILLE
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 E 89TH AVE
Mailing Address - Street 2:ROOM 117
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-8126
Mailing Address - Country:US
Mailing Address - Phone:219-738-3483
Mailing Address - Fax:219-757-7010
Practice Address - Street 1:303 E 89TH AVE
Practice Address - Street 2:ROOM 117
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-8126
Practice Address - Country:US
Practice Address - Phone:219-738-3483
Practice Address - Fax:219-757-7010
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005478A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical