Healthcare Provider Details

I. General information

NPI: 1033047709
Provider Name (Legal Business Name): ROBIN BORUM MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 GREAT FALLS ST
FALLS CHURCH VA
22046-3404
US

IV. Provider business mailing address

203 GREAT FALLS ST
FALLS CHURCH VA
22046-3404
US

V. Phone/Fax

Practice location:
  • Phone: 703-798-4625
  • Fax:
Mailing address:
  • Phone: 703-798-4625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904003345
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: