Healthcare Provider Details

I. General information

NPI: 1326708843
Provider Name (Legal Business Name): SHELBY LYNN BIGELOW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2021
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E MAIN ST STE 1600-12
NORFOLK VA
23510-2205
US

IV. Provider business mailing address

500 E MAIN ST STE 1600-12
NORFOLK VA
23510-2205
US

V. Phone/Fax

Practice location:
  • Phone: 757-350-3020
  • Fax: 757-350-3022
Mailing address:
  • Phone: 757-350-3020
  • Fax: 757-350-3022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904020309
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: