Individual provider Active NPI

Tanisha Nicole Robinson, LCSW

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1093217903
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011336 Issued in VA
Practice address
3580 Joseph Siewick Dr Ste 205
Fairfax, VA 22033-1764
Phone
(703) 620-3211
Fax
(703) 620-3215
NPI assigned
Mar 7, 2018
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0903002288 VA
Social Worker 104100000X 095096 NY
Clinical Social Worker 1041C0700X 0904011336 VA Primary

Addresses

Primary practice location

3580 Joseph Siewick Dr Ste 205
Fairfax, VA 22033-1764

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

14605 Potomac Branch Dr
Woodbridge, VA 22191-3336
Phone (703) 620-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, KS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191216003075 VA Practitioner - Clinical Social Worker 5496189920 Reassigns benefits to 2 organizations
I20210203002626 DC Practitioner - Clinical Social Worker 5496189920 Reassigns benefits to 2 organizations
I20220414000380 KS Practitioner - Clinical Social Worker 5496189920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

14605 Potomac Branch Dr
Suite 210
Woodbridge, VA 22191-3337
Phone (571) 492-3070

3300 Gallows Rd
Falls Church, VA 22042-3307

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 237-3446

9321 Sanger St
Lorton, VA 22079-2720

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095096NYMDSocial Worker
0903002288VAMDSocial Worker
0904011336VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Two Rivers Counseling LLC CurrentSince Jul 1, 2025 Accepting new patients
Inova Health Care Services CurrentSince Mar 25, 2023 Accepting new patients
High Plains Mental Health Center CurrentSince May 23, 2022 Accepting new patients
Imani Holistic Counseling LLC Clinical CurrentSince Dec 22, 2019 Accepting new patients
Inova Health Care Services CurrentSince Mar 25, 2023 Accepting new patients
Virginia Oak Counseling, LLC Clinical CurrentSince Nov 1, 2019 Accepting new patients
High Plains Mental Health Center Past Accepting new patients

Locations

750 S Range Ave
Colby, KS 67701
Phone (785) 462-6774

723 Main Ave
Goodland, KS 67735
Phone (785) 899-5991

208 E 7th St
Hays, KS 67601
Phone (785) 628-2871

211 S Norton Ave
Norton, KS 67654
Phone (785) 877-5141

209 W Harrison St
Osborne, KS 67473
Phone (785) 346-2184

783 7th St
Phillipsburg, KS 67661
Phone (785) 543-5284

3580 Joseph Siewick Dr
Ste 205
Fairfax, VA 22033
Phone (703) 620-3211

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

312 E Market St
Ste F
Leesburg, VA 20176
Phone (304) 725-7176

8001 Forbes Pl
Ste 211
Springfield, VA 22151
Phone (571) 395-0722

14605 Potomac Branch Dr
Ste 210
Woodbridge, VA 22191
Phone (703) 205-7330

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1093217903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 JOSEPH SIEWICK DR STE 205",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331764",
            "telephone_number": "703-620-3211",
            "fax_number": "703-620-3215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14605 Potomac Branch Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913336",
            "country_code": "US",
            "telephone_number": "703-620-3211",
            "fax_number": "703-620-3215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TANISHA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903002288",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095096",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.