Provider Demographics
NPI:1902289846
Name:LITTLE, ROBERT DOUGLAS (LMSW)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:DOUGLAS
Last Name:LITTLE
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 GOLD ST
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-2011
Mailing Address - Country:US
Mailing Address - Phone:347-268-7862
Mailing Address - Fax:
Practice Address - Street 1:40 GOLD ST
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-2011
Practice Address - Country:US
Practice Address - Phone:347-268-7862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-08
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00-1977104100000X
PASW142465104100000X
NY126360104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker