Provider Demographics
NPI:1710276860
Name:DILLON, ROBYN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:
Last Name:DILLON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 EAST BROAD STREET
Mailing Address - Street 2:12TH FLOOR, CARE COORDINATION
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0104
Mailing Address - Country:US
Mailing Address - Phone:804-628-0422
Mailing Address - Fax:804-828-0504
Practice Address - Street 1:1200 E BROAD ST
Practice Address - Street 2:VCU MEDICAL CENTER, 12TH FLOOR CARE COORDINATION
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5058
Practice Address - Country:US
Practice Address - Phone:804-628-0422
Practice Address - Fax:804-828-0504
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040049501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical