Provider Demographics
NPI:1265979959
Name:MCGUIRE-ROBB, REGINA (CSW)
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:MCGUIRE-ROBB
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:
Other - Last Name:MCGUIRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8110 GATEHOUSE RD
Mailing Address - Street 2:SUITE 300W
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1252
Mailing Address - Country:US
Mailing Address - Phone:703-289-8655
Mailing Address - Fax:703-204-3346
Practice Address - Street 1:8110 GATEHOUSE RD
Practice Address - Street 2:SUITE 300W
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1252
Practice Address - Country:US
Practice Address - Phone:703-289-8655
Practice Address - Fax:703-204-3346
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040038091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical