Provider Demographics
NPI:1275756728
Name:KIRKHORN, ROBERT L JR (MSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:L
Last Name:KIRKHORN
Suffix:JR
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 MILSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5938
Mailing Address - Country:US
Mailing Address - Phone:301-236-9732
Mailing Address - Fax:
Practice Address - Street 1:725 MILSHIRE CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-5938
Practice Address - Country:US
Practice Address - Phone:301-236-9732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD030581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical