MEDICARE: RAFT MENTAL HEALTH AGENCY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	202D00000X	Integrative Medicine Physician
2	2084P0800X	Psychiatry Physician
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1245195916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAFT MENTAL HEALTH AGENCY

Provider Business Mailing Address
First Line	:	400 N COLUMBUS ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2259
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 N COLUMBUS ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2259
Country	:	US
Telephone Number	:	202-441-4228
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SIU-LIN TING ROBINSON
Credential	:	LCSW
Telephone Number	:	202-441-4228

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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Directions to “RAFT MENTAL HEALTH AGENCY ” Practice Location

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