Provider Demographics
NPI:1770802126
Name:STORMS, ROBIN A (LCSW-C)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:A
Last Name:STORMS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2461
Mailing Address - Country:US
Mailing Address - Phone:301-697-4719
Mailing Address - Fax:301-724-8417
Practice Address - Street 1:327 BEALL ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-3372
Practice Address - Country:US
Practice Address - Phone:301-724-8413
Practice Address - Fax:301-724-8417
Is Sole Proprietor?:No
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD097581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical