Provider Demographics
NPI:1790770212
Name:SLONE, CAROLINE G (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:G
Last Name:SLONE
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 1:107 POPLAR LN
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23701-1127
Mailing Address - Country:US
Mailing Address - Phone:757-646-6431
Mailing Address - Fax:
Practice Address - Street 1:107 POPLAR LN
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23701-1127
Practice Address - Country:US
Practice Address - Phone:757-646-6431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040030471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA143683OtherANTHEM TRIGON
VA083109OtherSENTARA/OPTIMA
VA254613000OtherMAGELLEAN
VA238962OtherMAMSI UNITED HEALTHCARE
VA083109OtherSENTARA/OPTIMA