Provider Demographics
NPI:1558766246
Name:ORR-WILSON, MSW, LCSW, RAHIKYA SHANNAE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RAHIKYA
Middle Name:SHANNAE
Last Name:ORR-WILSON, MSW, LCSW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:RAHIKYA
Other - Middle Name:SHANNAE
Other - Last Name:ORR-WILSON, MSW, LICSW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:5516 FALMOUTH STREET - VISTAS II
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230
Mailing Address - Country:US
Mailing Address - Phone:804-337-9834
Mailing Address - Fax:
Practice Address - Street 1:5516 FALMOUTH ST
Practice Address - Street 2:SUITE I02
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1819
Practice Address - Country:US
Practice Address - Phone:804-337-9834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040087041041C0700X
DCLC500800401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical