Robin Fenlon LMSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801067778 Issued in MI

Legal business name

ROBIN FENLON LMSW PC

Practice address

740 Center St
Clio, MI 48420-1134

Phone

(810) 686-7313

Fax

(810) 686-7315

NPI assigned

Jun 24, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Robin Lucinda Fenlon, MSW,LMSW,ACSW,CAADC

Title

Owner

Phone

(810) 919-9722

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1144516428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CENTER ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201134",
            "telephone_number": "810-686-7313",
            "fax_number": "810-686-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 CENTER ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201134",
            "telephone_number": "810-686-7313",
            "fax_number": "810-686-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN FENLON LMSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "FENLON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LUCINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-919-9722",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW,LMSW,ACSW,CAADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6801067778",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Clio, MI
• Providers in Clio, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.