Provider Demographics
NPI:1265556716
Name:ANDERSON, ROBIN O'NEILL (LCSW)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:O'NEILL
Last Name:ANDERSON
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 1:1364 BEVERLY RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3600
Mailing Address - Country:US
Mailing Address - Phone:703-734-1442
Mailing Address - Fax:703-790-3282
Practice Address - Street 1:1364 BEVERLY RD
Practice Address - Street 2:SUITE 303
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3600
Practice Address - Country:US
Practice Address - Phone:703-734-1442
Practice Address - Fax:703-790-3282
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040043301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical