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Provider Information for 1124269006


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Ms. ADRIENE MOORE ROBINSON LCSW


Sex: Female

NPI: 1124269006
Last Updated: 2021-08-23
Certification Date: 2021-08-05

Details

NameValue
NPI1124269006
Enumeration Date2009-03-23
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 5700 LOCHMOOR DR APT 157
RIVERSIDE, CA 92507-8433
United States

Phone: 951-786-9754 | Fax:
 
Primary Practice Address 5005 LAMART DR. 100B3
RIVERSIDE, CA 92507
United States

Phone: 909-831-2660 | Fax:
 
Secondary Practice Address(es)

5700 LOCHMOOR DR APT 157
RIVERSIDE, CA 92507-8433
United States

Phone: 951-786-9754 | Fax:
 

22445 ALESSANDRO BLVD STE 113-114
MORENO VALLEY, CA 92553-8358
United States

Phone: 951-924-9791 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalCA25021