Individual provider Active NPI

Robin Lynn McMahon, LCSW, PHD

  • Clinical Social Worker
  • Arlington, VA
National Provider Identifier
1801906151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002333 Issued in VA
Practice address
5909 22ND St N
Arlington, VA 22205-3326
Phone
(703) 533-0132
Fax
(703) 533-0139
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904002333 VA Primary

Addresses

Primary practice location

5909 22ND St N
Arlington, VA 22205-3326

Mailing address

5909 22ND St N
Arlington, VA 22205-3326
Phone (703) 533-0132

Other identifiers 2

IdentifierTypeStateIssuer
10848OtherMDCLIN SW LICENSE
0904002333OtherVACLIN. SOC. WORK LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0904002333VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Palliative Care Consultants, LLC PastSince Oct 18, 2012 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801906151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 22ND ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053326",
            "telephone_number": "703-533-0132",
            "fax_number": "703-533-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 22ND ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053326",
            "telephone_number": "703-533-0132",
            "fax_number": "703-533-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "ROBIN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIN SW LICENSE",
            "identifier": "10848",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIN. SOC. WORK LICENSE",
            "identifier": "0904002333",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.