Provider Demographics
NPI:1003145202
Name:ROBINSON, JAMES FLETCHER IV (LICSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:FLETCHER
Last Name:ROBINSON
Suffix:IV
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 WISCONSIN AVENUE, N.W.
Mailing Address - Street 2:# 716
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016
Mailing Address - Country:US
Mailing Address - Phone:202-232-5171
Mailing Address - Fax:
Practice Address - Street 1:3130 WISCONSIN AVE NW
Practice Address - Street 2:# 716
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-5014
Practice Address - Country:US
Practice Address - Phone:202-232-5171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500785361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical