Provider Demographics
NPI:1437339876
Name:ROBINSON-KISS, SHEILA V (MSW)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:V
Last Name:ROBINSON-KISS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:-178 TUNBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-5404
Mailing Address - Country:US
Mailing Address - Phone:917-702-9399
Mailing Address - Fax:
Practice Address - Street 1:-178 TUNBRIDGE RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-5404
Practice Address - Country:US
Practice Address - Phone:917-702-9399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6796-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL149.010587OtherSTATE OF ILLINOIS LICENSED CLINICAL SOCIAL WORKER
WI6796-123OtherLCSW