Provider Demographics
NPI:1184965378
Name:STONE, LADONNA R (LCSW)
Entity type:Individual
Prefix:
First Name:LADONNA
Middle Name:R
Last Name:STONE
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 1:1058 GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23607-5945
Mailing Address - Country:US
Mailing Address - Phone:757-342-4640
Mailing Address - Fax:
Practice Address - Street 1:809 MAIN ST
Practice Address - Street 2:STE 100
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23605-1090
Practice Address - Country:US
Practice Address - Phone:757-595-8008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040081421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical