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MR. RANDY ROBINSON MSW LCAS CSI MAC NPI 1841521911


NPI Information

NPI: 1841521911
Provider Name: MR. RANDY ROBINSON, MSW, LCAS, CSI, MAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1058 W CLUB BLVD
SUITE 616
DURHAM, NC
ZIP 27701
Phone: (984) 219-7056
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MR. Randy Robinson, MSW, LCAS, CSI, MAC is an addiction (substance use disorder) counselor in Durham, NC. MR. Randy Robinson, MSW, LCAS, CSI, MAC NPI is 1841521911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1058 W CLUB BLVD
SUITE 616
DURHAM, NC
ZIP 27701-104
Phone: (984) 219-7056
Fax: (984) 219-7056

The enumeration date for this NPI number is 1/28/2010 and was last updated on 1/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)1313NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16112124MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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