Provider Demographics
NPI:1467101113
Name:ROBINETTE, KIRSTEN (LCSW-C)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:ROBINETTE
Suffix:
Gender:
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 1:203 W MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:VA
Mailing Address - Zip Code:23093
Mailing Address - Country:US
Mailing Address - Phone:240-780-8040
Mailing Address - Fax:
Practice Address - Street 1:8630 FENTON ST STE 520
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3829
Practice Address - Country:US
Practice Address - Phone:240-780-8040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD272931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty