Provider Demographics
NPI:1982171765
Name:STAROBIN COUNSELING LLC
Entity type:Organization
Organization Name:STAROBIN COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARON
Authorized Official - Middle Name:T
Authorized Official - Last Name:STAROBIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-524-4450
Mailing Address - Street 1:17816 WHIMSEY CT
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-2826
Mailing Address - Country:US
Mailing Address - Phone:301-524-4450
Mailing Address - Fax:
Practice Address - Street 1:18213 HILLCREST AVE
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1422
Practice Address - Country:US
Practice Address - Phone:301-417-5979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-30
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty