Provider Demographics
NPI:1639466675
Name:GARIBAY, LAURA (LCSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:GARIBAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 HARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1512
Mailing Address - Country:US
Mailing Address - Phone:415-937-2409
Mailing Address - Fax:757-500-7866
Practice Address - Street 1:820 W 21ST ST
Practice Address - Street 2:STE 207
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1514
Practice Address - Country:US
Practice Address - Phone:757-453-3282
Practice Address - Fax:757-257-8447
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040117281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical