Provider Demographics
NPI:1730485103
Name:JAHANIAN, ROBIN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ROBIN
Middle Name:
Last Name:JAHANIAN
Suffix:
Gender:M
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:PO BOX 143
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20168-0143
Mailing Address - Country:US
Mailing Address - Phone:703-596-5079
Mailing Address - Fax:703-260-1509
Practice Address - Street 1:15100 WASHINGTON ST STE 103
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-4919
Practice Address - Country:US
Practice Address - Phone:703-596-5079
Practice Address - Fax:703-260-1509
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040075151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical