Provider Demographics
NPI:1407907801
Name:SCHULTE, ROBERT EVANS (MSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:EVANS
Last Name:SCHULTE
Suffix:
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 1:1204 PRINCE ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2936
Mailing Address - Country:US
Mailing Address - Phone:703-838-1633
Mailing Address - Fax:703-997-1481
Practice Address - Street 1:1204 PRINCE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2936
Practice Address - Country:US
Practice Address - Phone:703-838-1633
Practice Address - Fax:703-997-1481
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040031261041C0700X
DCLC302027441041C0700X
MD086931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical