Provider Demographics
NPI:1154185080
Name:BUNTING, ROBIN MONIQUE (LMSW)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:MONIQUE
Last Name:BUNTING
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:MONIQUE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:13500 OLD MARLBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-2856
Mailing Address - Country:US
Mailing Address - Phone:240-729-3541
Mailing Address - Fax:
Practice Address - Street 1:2233 WISCONSIN AVE NW FL 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-4104
Practice Address - Country:US
Practice Address - Phone:202-741-1250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD266011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical