Provider Demographics
NPI:1366695173
Name:UNRUH, ROBIN R (LMSW)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:R
Last Name:UNRUH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:SATANTA
Mailing Address - State:KS
Mailing Address - Zip Code:67870-0159
Mailing Address - Country:US
Mailing Address - Phone:620-649-2200
Mailing Address - Fax:620-649-2136
Practice Address - Street 1:401 CHEYENNE
Practice Address - Street 2:
Practice Address - City:SATANTA
Practice Address - State:KS
Practice Address - Zip Code:67870-8748
Practice Address - Country:US
Practice Address - Phone:620-649-2200
Practice Address - Fax:620-649-2136
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5179104100000X
KS171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator