Provider Demographics
NPI:1720735038
Name:ROBINSON, SHARON J (LCSW)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:J
Last Name:ROBINSON
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2166 LA COSTA VILLAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-7871
Mailing Address - Country:US
Mailing Address - Phone:860-280-7875
Mailing Address - Fax:
Practice Address - Street 1:3100 W RAY RD STE 201
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-2472
Practice Address - Country:US
Practice Address - Phone:269-312-1446
Practice Address - Fax:269-225-6949
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-07
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL182211041C0700X
AZ227841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical