Provider Demographics
NPI:1609304989
Name:CARON TRESINA STAROBIN
Entity Type:Organization
Organization Name:CARON TRESINA STAROBIN
Other - Org Name:STAROBIN COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARON
Authorized Official - Middle Name:TRESINA
Authorized Official - Last Name:STAROBIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:301-524-4450
Mailing Address - Street 1:3413 OLANDWOOD CT STE 104
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1489
Mailing Address - Country:US
Mailing Address - Phone:301-524-4450
Mailing Address - Fax:301-524-4450
Practice Address - Street 1:3413 OLANDWOOD CT STE 104
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1489
Practice Address - Country:US
Practice Address - Phone:301-524-4450
Practice Address - Fax:301-524-4450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD125651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty