Healthcare Provider Details

I. General information

NPI: 1134530884
Provider Name (Legal Business Name): ROBIN S SMITH LCMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2014
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2524 LOCUSTWOOD PL
SILVER SPRING MD
20905-6421
US

IV. Provider business mailing address

2524 LOCUSTWOOD PL
SILVER SPRING MD
20905-6421
US

V. Phone/Fax

Practice location:
  • Phone: 240-390-6381
  • Fax:
Mailing address:
  • Phone: 240-390-6381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLCM586
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: