Provider Demographics
NPI:1942641642
Name:WEINER, ROBYN (LCSW-C)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:WEINER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N BEAUREGARD ST
Mailing Address - Street 2:#613
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2943
Mailing Address - Country:US
Mailing Address - Phone:301-587-2550
Mailing Address - Fax:
Practice Address - Street 1:301 N BEAUREGARD ST
Practice Address - Street 2:#613
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2943
Practice Address - Country:US
Practice Address - Phone:301-587-2550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD163601041C0700X
VA09040093631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical