Provider Demographics
NPI:1154620060
Name:BERENSTAIN, ROBIN LEVINE (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LEVINE
Last Name:BERENSTAIN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10400 CRESTMOOR DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1933
Mailing Address - Country:US
Mailing Address - Phone:301-562-8700
Mailing Address - Fax:301-562-8700
Practice Address - Street 1:10400 CRESTMOOR DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1933
Practice Address - Country:US
Practice Address - Phone:301-562-8700
Practice Address - Fax:301-562-8700
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD070411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical