Provider Demographics
NPI:1154338523
Name:SHEAVLY, ROBERT B (LICSW, DCSW)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:B
Last Name:SHEAVLY
Suffix:
Gender:M
Credentials:LICSW, DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 17TH ST NW
Mailing Address - Street 2:STE. 203
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2453
Mailing Address - Country:US
Mailing Address - Phone:202-232-4900
Mailing Address - Fax:202-250-7990
Practice Address - Street 1:1700 17TH ST NW
Practice Address - Street 2:STE. 203
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-2453
Practice Address - Country:US
Practice Address - Phone:202-232-4900
Practice Address - Fax:202-250-7990
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3022411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical