Provider Demographics
NPI:1174962229
Name:ROBINSON, SAPPHIRE MARIA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SAPPHIRE
Middle Name:MARIA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:SAPPHIRE
Other - Middle Name:MARIA
Other - Last Name:ROSIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:350 S 400 E
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84111-2905
Mailing Address - Country:US
Mailing Address - Phone:801-582-5534
Mailing Address - Fax:801-582-5540
Practice Address - Street 1:350 S 400 E
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111
Practice Address - Country:US
Practice Address - Phone:801-582-5534
Practice Address - Fax:801-582-5540
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099244891041C0700X
CO2039311041S0200X, 1041S0200X
UT8581524-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool