Provider Demographics
NPI:1790861854
Name:CLAYTOR, ROBYN BRANNOCK (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:BRANNOCK
Last Name:CLAYTOR
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 1:335 WESTSIDE STATION DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2840
Mailing Address - Country:US
Mailing Address - Phone:540-662-7555
Mailing Address - Fax:540-662-9105
Practice Address - Street 1:335 WESTSIDE STATION DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2840
Practice Address - Country:US
Practice Address - Phone:540-662-7555
Practice Address - Fax:540-662-9105
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040030521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical