Doctor Name: | NADINE M LUPTON |
NPI Number: | 1063503290 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 0904002347 |
Business Practice Address: | 385 Garrisonville Rd Suite 113 Stafford, VA - 225541545 |
Business Phone Number: | 5406571228 |
Business Fax Number: | 5406571999 |
Mailing Address: | 6967 Klett Dr, FORT BELVOIR |
State: | VA |
Postal Code: | 220607412 |
Phone Number: | 7037810226 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904002347 |
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 |