Provider Demographics
NPI:1962685867
Name:HARTFORD, ROBERT G (LICSW, LCSW, CSW)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:G
Last Name:HARTFORD
Suffix:
Gender:M
Credentials:LICSW, LCSW, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1426 21ST ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5947
Mailing Address - Country:US
Mailing Address - Phone:202-412-0253
Mailing Address - Fax:202-299-9410
Practice Address - Street 1:1426 21ST ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5947
Practice Address - Country:US
Practice Address - Phone:202-412-0253
Practice Address - Fax:202-299-9410
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500777021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical