Basic Information
Provider Information
NPI: 1528268000
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAGLINGER
FirstName: ROBIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1165
Address2:  
City: EVANSVILLE
State: IN
PostalCode: 477061165
CountryCode: US
TelephoneNumber: 8124711591
FaxNumber: 8124716650
Practice Location
Address1: 1314 E WALNUT ST
Address2:  
City: WASHINGTON
State: IN
PostalCode: 475012860
CountryCode: US
TelephoneNumber: 8122542760
FaxNumber: 8122578602
Other Information
ProviderEnumerationDate: 07/23/2007
LastUpdateDate: 08/14/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X34004922AINY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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