Individual
SHANNON JENILE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3704 RAVEN WOOD CHASE, STOCKBRIDGE, GA 30281-9203
(757) 945-9457
Mailing address
3704 RAVEN WOOD CHASE, STOCKBRIDGE, GA 30281-9203
(757) 945-9457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012810
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0904012810
—
VA
Enumeration date
04/08/2021
Last updated
01/14/2026
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