Healthcare Provider Details

I. General information

NPI: 1932444163
Provider Name (Legal Business Name): BRITTNY JEAN GAINEY DSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2012
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 SEA HERO CT
SUFFOLK VA
23435-1787
US

IV. Provider business mailing address

104 SEA HERO CT
SUFFOLK VA
23435-1787
US

V. Phone/Fax

Practice location:
  • Phone: 757-620-1789
  • Fax:
Mailing address:
  • Phone: 757-620-1789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP005862
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904012887
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC007993
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: