Provider Demographics
NPI:1134832868
Name:BRINDA, JOSEPH SAM JR (LMSW)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:SAM
Last Name:BRINDA
Suffix:JR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BARRON DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-3202
Mailing Address - Country:US
Mailing Address - Phone:304-841-2977
Mailing Address - Fax:
Practice Address - Street 1:CLINICAL SERVICES, LLC
Practice Address - Street 2:2 EATON STREET, SUITE 300
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669
Practice Address - Country:US
Practice Address - Phone:304-841-2977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0903002361104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker