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NPI Code Detail

MEDICARE: CITY OF NORFOLK

MEDICARE: CITY OF NORFOLK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor24107004VA
2101YA0400XAddiction (Substance Use Disorder) Counselor24107004VA
3101YM0800XMental Health Counselor24107004VA
4101YP2500XProfessional Counselor24107004VA
5103T00000XPsychologist24107004VA
6103TA0400XAddiction (Substance Use Disorder) Psychologist24107004VA
7103TC0700XClinical Psychologist24107004VA
8104100000XSocial Worker24107004VA
9106H00000XMarriage & Family Therapist24107004VA
101041C0700XClinical Social Worker24107004VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326280652
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF NORFOLK
Provider Business Mailing Address
First Line : 7447 CENTRAL BUSINESS PARK DR
Second Line :
City : NORFOLK
State : VA
Zip : 23513-2867
Country : US
Telephone Number : 757-756-5600
Fax Number :
Provider Business Practice Location Address
First Line : 7447 CENTRAL BUSINESS PARK DR
Second Line :
City : NORFOLK
State : VA
Zip : 23513-2867
Country : US
Telephone Number : 757-756-5600
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : SARAH PAIGE FULLER
Credential :
Telephone Number : 757-756-5600
Provider Enumeration Date : 04/01/2009
Last Update Date : 12/06/2022

Similar Medicare Providers

1093663585 — RODERIC WILLIAMS LPC
Practice Location Address:
7447 CENTRAL BUSINESS PARK DR
NORFOLK, VA
23513-2867
Practice Phone: 757-756-5600
Practice Fax:
1306800198 — CITY OF NORFOLK
Practice Location Address:
7447 CENTRAL BUSINESS PARK DR
NORFOLK, VA
23513-2867
Practice Phone: 757-756-5600
Practice Fax:
1124198858 — MRS. AMY HELENE DAGEN LCSW
Practice Location Address:
7447 CENTRAL BUSINESS PARK DR
NORFOLK, VA
23513-2867
Practice Phone: 757-756-5600
Practice Fax:
1710281803 — CITY OF NORFOLK
Practice Location Address:
7447 CENTRAL BUSINESS PARK DR
NORFOLK, VA
23513-2867
Practice Phone: 757-756-5600
Practice Fax:
1154851319 — MELANIE ANN SIMS
Practice Location Address:
7447 CENTRAL BUSINESS PARK DR
NORFOLK, VA
23513-2867
Practice Phone: 757-664-7690
Practice Fax:
1043726045 — MS. MASHAWN SCOTT-CARR ED.D., LPC, CSAC
Practice Location Address:
7447 CENTRAL BUSINESS PARK DR
NORFOLK, VA
23513-2867
Practice Phone: 757-756-5600
Practice Fax:

Directions to “CITY OF NORFOLK ” Practice Location

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