Provider Demographics
NPI:1952456188
Name:NEWELL, ROBIN LELYVELD (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LELYVELD
Last Name:NEWELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:LELYVELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:3031 BARKLEY GATE LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-1462
Mailing Address - Country:US
Mailing Address - Phone:703-338-7309
Mailing Address - Fax:703-289-9449
Practice Address - Street 1:3031 BARKLEY GATE LN
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-1462
Practice Address - Country:US
Practice Address - Phone:703-338-7309
Practice Address - Fax:703-289-9449
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904003910804662761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical