Provider Demographics
NPI:1538210836
Name:KARAGOUNIS, ROBIN LEE (LICSW)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LEE
Last Name:KARAGOUNIS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2503
Mailing Address - Country:US
Mailing Address - Phone:508-222-0290
Mailing Address - Fax:
Practice Address - Street 1:206 GANO ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3835
Practice Address - Country:US
Practice Address - Phone:401-383-8400
Practice Address - Fax:401-383-8497
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW011351041C0700X
MA10287641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI62-81446OtherCLINICAL SOCIAL WORKER
RI26546-1OtherCLINICAL SOCIAL WORKER
RI26546-1OtherCLINICAL SOCIAL WORKER