Provider Demographics
NPI:1194123893
Name:ROMANN, ROBIN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:
Last Name:ROMANN
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:LYNN
Other - Last Name:OUELLETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW-C
Mailing Address - Street 1:260 BLAINE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:FORT KENT
Mailing Address - State:ME
Mailing Address - Zip Code:04743-1741
Mailing Address - Country:US
Mailing Address - Phone:207-231-2737
Mailing Address - Fax:
Practice Address - Street 1:260 BLAINE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:FORT KENT
Practice Address - State:ME
Practice Address - Zip Code:04743-1741
Practice Address - Country:US
Practice Address - Phone:207-231-2737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-11
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELSX14552104100000X
MEMC15758104100000X
MELC206381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker