Provider Demographics
NPI:1033440755
Name:ROBINSON, PAGE (LICSW)
Entity Type:Individual
Prefix:
First Name:PAGE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:PAGE
Other - Middle Name:ROBINSON
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3231 P ST NW
Mailing Address - Street 2:FL 2
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2882
Mailing Address - Country:US
Mailing Address - Phone:202-258-2122
Mailing Address - Fax:
Practice Address - Street 1:3231 P ST NW
Practice Address - Street 2:FL 2
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2882
Practice Address - Country:US
Practice Address - Phone:202-258-2122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-20
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500788591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical