Provider Demographics
NPI:1346002052
Name:BRASS, DOROTHY YVETTE (LCSW)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:YVETTE
Last Name:BRASS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:YVETTE
Other - Last Name:WOODHOUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 14092
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-0092
Mailing Address - Country:US
Mailing Address - Phone:641-831-3440
Mailing Address - Fax:
Practice Address - Street 1:1519 EAGLE AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-2931
Practice Address - Country:US
Practice Address - Phone:641-831-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040160581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical