Provider Demographics
NPI:1164525283
Name:BRENNAN, PATRICIA O'KEEFE (LCSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:O'KEEFE
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 PRINCESS ANNE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3253
Mailing Address - Country:US
Mailing Address - Phone:757-490-5665
Mailing Address - Fax:757-490-9735
Practice Address - Street 1:5701 PRINCESS ANNE RD
Practice Address - Street 2:STE 101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3253
Practice Address - Country:US
Practice Address - Phone:757-490-5665
Practice Address - Fax:757-490-9735
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VACO-196-051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical