Provider Demographics
NPI:1417973439
Name:SCHLICHTER, JEAN BENZE (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:JEAN
Middle Name:BENZE
Last Name:SCHLICHTER
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6275 E VIRGINIA BEACH BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-2851
Mailing Address - Country:US
Mailing Address - Phone:757-961-0606
Mailing Address - Fax:757-233-8499
Practice Address - Street 1:500 E PLUME ST STE 205
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2325
Practice Address - Country:US
Practice Address - Phone:757-828-1640
Practice Address - Fax:757-210-3905
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040004091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8909156Medicaid
VA8909156Medicaid
VA059206OtherBLUE CROSS