Provider Demographics
NPI:1801906151
Name:MCMAHON, ROBIN LYNN (LCSW, PHD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:LYNN
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5909 22ND ST N
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3326
Mailing Address - Country:US
Mailing Address - Phone:703-533-0132
Mailing Address - Fax:703-533-0139
Practice Address - Street 1:5909 22ND ST N
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3326
Practice Address - Country:US
Practice Address - Phone:703-533-0132
Practice Address - Fax:703-533-0139
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040023331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD10848OtherCLIN SW LICENSE
VA0904002333OtherCLIN. SOC. WORK LICENSE
VA0904002333OtherCLIN. SOC. WORK LICENSE