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NPI Code Detail

MEDICARE: ROBERT ODIN HANKS LCSW-C

MEDICARE: ROBERT ODIN HANKS LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker26786MD

General Provider Information

NPI Number : 1205534179
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT ODIN HANKS LCSW-C
Provider Business Mailing Address
First Line : 1223 PAUL MARTIN DR
Second Line :
City : EDGEWOOD
State : MD
Zip : 21040-1216
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1819 BAY RIDGE AVE STE 190
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21403-2834
Country : US
Telephone Number : 443-281-9430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2023
Last Update Date : 03/02/2026

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Directions to “ ROBERT ODIN HANKS LCSW-C” Practice Location

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