Provider Demographics
NPI:1366961047
Name:ROBINSON, GEORGE PAUL (LCSW)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:PAUL
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 FAIRLANE DR
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-6483
Mailing Address - Country:US
Mailing Address - Phone:815-730-8900
Mailing Address - Fax:815-936-8659
Practice Address - Street 1:13 FAIRLANE DR
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6483
Practice Address - Country:US
Practice Address - Phone:815-730-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-14
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490177491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical