Provider Demographics
NPI:1528362100
Name:ROBINSON, CASSANDRA WILLIAMS
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:WILLIAMS
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 1:1785 SANTA MONICA ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-4048
Mailing Address - Country:US
Mailing Address - Phone:510-260-6147
Mailing Address - Fax:415-239-4689
Practice Address - Street 1:13585 SAN PABLO AVE FL 1
Practice Address - Street 2:
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-3863
Practice Address - Country:US
Practice Address - Phone:510-260-6147
Practice Address - Fax:510-942-4601
Is Sole Proprietor?:No
Enumeration Date:2010-12-22
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health