Provider Demographics
NPI:1053734285
Name:ROBINSON, DAWNE (MS, CACD-M)
Entity type:Individual
Prefix:MRS
First Name:DAWNE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MS, CACD-M
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8874 INVERNESS DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48095-2837
Mailing Address - Country:US
Mailing Address - Phone:313-308-0255
Mailing Address - Fax:313-308-0270
Practice Address - Street 1:2995 CONNER ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48215
Practice Address - Country:US
Practice Address - Phone:313-308-0255
Practice Address - Fax:313-308-0270
Is Sole Proprietor?:No
Enumeration Date:2014-01-23
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802071849104100000X
MI1-04743101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)