Provider Demographics
NPI:1356417190
Name:SCUKA, ROBERT FRANC (PHD, MSW)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FRANC
Last Name:SCUKA
Suffix:
Gender:M
Credentials:PHD, MSW
Other - Prefix:DR
Other - First Name:ROB
Other - Middle Name:FRANC
Other - Last Name:SCUKA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, MSW
Mailing Address - Street 1:3914 KINCAID TER
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1519
Mailing Address - Country:US
Mailing Address - Phone:301-530-5271
Mailing Address - Fax:
Practice Address - Street 1:3914 KINCAID TER
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-1519
Practice Address - Country:US
Practice Address - Phone:301-530-5271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD089371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD08937OtherLCSW-C LICENSE NUMBER
MD41660001OtherCAREFIRST PROVIDER NUMBER
MD41660001OtherCAREFIRST PROVIDER NUMBER