Doctor Name: | ROBIN JO MACHATTIE |
NPI Number: | 1720457138 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 082217-1 |
Business Practice Address: | 1 Buffington St Bldg 120 Watervliet, NY - 121894000 |
Business Phone Number: | 5182701510 |
Business Fax Number: | |
Mailing Address: | 33 Connecticut Ave, RENSSELAER |
State: | NY |
Postal Code: | 121443303 |
Phone Number: | 5187864734 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2015 |
NPI Last Update Date: | 09/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 082217-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |