Doctor Name: | MS. SUSAN O GIDDINGS |
NPI Number: | 1013086388 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0904000606 |
Business Practice Address: | 101 N Lynnhaven Rd Ste 103 Virginia Beach, VA - 234527523 |
Business Phone Number: | 7574866955 |
Business Fax Number: | 7574863258 |
Mailing Address: | 101 N Lynnhaven Rd Ste 103, VIRGINIA BEACH |
State: | VA |
Postal Code: | 234527523 |
Phone Number: | 7574866955 |
Fax Number: | 7574863258 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 08/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904000606 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |