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NPI Code Detail

MEDICARE: DR. ROBIN LYNN MCMAHON LCSW, PHD

MEDICARE:  DR. ROBIN LYNN MCMAHON  LCSW, PHD
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 Worker0904002333VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110848OTHERMDCLIN SW LICENSE
20904002333OTHERVACLIN. SOC. WORK LICENSE

General Provider Information

NPI Number : 1801906151
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBIN LYNN MCMAHON LCSW, PHD
Provider Business Mailing Address
First Line : 5909 22ND ST N
Second Line :
City : ARLINGTON
State : VA
Zip : 22205-3326
Country : US
Telephone Number : 703-533-0132
Fax Number : 703-533-0139
Provider Business Practice Location Address
First Line : 5909 22ND ST N
Second Line :
City : ARLINGTON
State : VA
Zip : 22205-3326
Country : US
Telephone Number : 703-533-0132
Fax Number : 703-533-0139
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ROBIN LYNN MCMAHON LCSW, PHD” Practice Location

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