Healthcare Provider Details
I. General information
NPI: 1316744964
Provider Name (Legal Business Name): SIU-LIN TING ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/28/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 N COLUMBUS ST STE 201
ALEXANDRIA VA
22314-2264
US
IV. Provider business mailing address
2826 OLIVE ST NW
WASHINGTON DC
20007-3327
US
V. Phone/Fax
- Phone: 571-450-9145
- Fax:
- Phone: 202-441-4228
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | LC200004026 |
| License Number State | DC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | 0903003934 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: