Provider Demographics
NPI:1154447779
Name:SPECTOR, VIRGINIA ANNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:ANNE
Last Name:SPECTOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ANNE
Other - Middle Name:T
Other - Last Name:SPECTOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:7329 BOULDER VIEW LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4953
Mailing Address - Country:US
Mailing Address - Phone:804-320-8570
Mailing Address - Fax:804-320-8572
Practice Address - Street 1:7329 BOULDER VIEW LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4953
Practice Address - Country:US
Practice Address - Phone:804-320-8570
Practice Address - Fax:804-320-8572
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical