Provider Demographics
NPI:1992124788
Name:BAYNE, ROBIN (LCSW)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:
Last Name:BAYNE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:320 E MAIN ST STE 207
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-3836
Mailing Address - Country:US
Mailing Address - Phone:615-624-4291
Mailing Address - Fax:
Practice Address - Street 1:320 E MAIN ST STE 207
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-3836
Practice Address - Country:US
Practice Address - Phone:615-624-4291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-09
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW0000065691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical