MEDICARE: HUNTER ROBINSON GUNN LCSW

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
1	1041C0700X	Clinical Social Worker	LC50079298	DC
2	1041C0700X	Clinical Social Worker	LCS22199	CA
3	1041C0700X	Clinical Social Worker	0904008010	VA

General Provider Information

NPI Number	:	1417039058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUNTER ROBINSON GUNN LCSW

Provider Business Mailing Address
First Line	:	PO BOX 37174
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21297-3174
Country	:	US
Telephone Number	:	571-423-5699
Fax Number	:	571-423-5698

Provider Business Practice Location Address
First Line	:	6400 ARLINGTON BLVD STE 200
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-2336
Country	:	US
Telephone Number	:	703-531-3085
Fax Number	:	35-313-1427

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	06/02/2021

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