Provider Demographics
NPI:1619359759
Name:FIGUEROA, GINA ANN (LCSW, CADC)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:ANN
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3829 LASALLE DR
Mailing Address - Street 2:# 103
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23453-4777
Mailing Address - Country:US
Mailing Address - Phone:757-288-1200
Mailing Address - Fax:757-222-1788
Practice Address - Street 1:3640 S PLAZA TRL
Practice Address - Street 2:SUITE 103
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-3363
Practice Address - Country:US
Practice Address - Phone:757-971-4673
Practice Address - Fax:757-222-1788
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-25
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1023101YA0400X
VA09040086841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)