Provider Demographics
NPI:1457913600
Name:ROBIN, VANESSA KATHRYN (MSSW, LMSW)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:KATHRYN
Last Name:ROBIN
Suffix:
Gender:F
Credentials:MSSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 16TH ST APT 417
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2983
Mailing Address - Country:US
Mailing Address - Phone:202-641-5752
Mailing Address - Fax:
Practice Address - Street 1:11803 KIM PL
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3459
Practice Address - Country:US
Practice Address - Phone:202-641-5752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG50082542104100000X
MD24374104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker