Provider Demographics
NPI:1528031895
Name:GERLITS, ROBERT R (MSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:R
Last Name:GERLITS
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 1:2127 CALIFORNIA ST NW
Mailing Address - Street 2:APARTMENT 702
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1875
Mailing Address - Country:US
Mailing Address - Phone:202-462-2178
Mailing Address - Fax:
Practice Address - Street 1:1301 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE 750
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1815
Practice Address - Country:US
Practice Address - Phone:202-429-4937
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3035641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC490913Medicare ID - Type UnspecifiedPROVIDER NUMBER