Provider Demographics
NPI:1528393741
Name:COX, BRIANNA JARABAK (LCSW)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:JARABAK
Last Name:COX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:V
Other - Last Name:JARABAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:413 23RD ST
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-3209
Mailing Address - Country:US
Mailing Address - Phone:757-831-5546
Mailing Address - Fax:757-437-7105
Practice Address - Street 1:101 N LYNNHAVEN RD STE 201
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7523
Practice Address - Country:US
Practice Address - Phone:757-655-7002
Practice Address - Fax:757-215-2385
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040071711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical