Healthcare Provider Details

I. General information

NPI: 1699065367
Provider Name (Legal Business Name): LINDSAY T HUFFMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 04/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CHILDRENS LN SOCIAL WORK DEPT
NORFOLK VA
23507-1910
US

IV. Provider business mailing address

601 CHILDRENS LN SOCIAL WORK DEPT
NORFOLK VA
23507-1910
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-7938
  • Fax: 757-668-7950
Mailing address:
  • Phone: 757-668-7938
  • Fax: 757-668-7950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904007639
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: