Provider Demographics
NPI:1265686661
Name:STEIN, NORMAN (LCSW)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:
Last Name:STEIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 COMMONWEALTH PL
Mailing Address - Street 2:SUITE 217
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-4517
Mailing Address - Country:US
Mailing Address - Phone:757-819-1613
Mailing Address - Fax:757-313-6634
Practice Address - Street 1:900 COMMONWEALTH PL
Practice Address - Street 2:SUITE 217
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-4517
Practice Address - Country:US
Practice Address - Phone:757-819-1613
Practice Address - Fax:757-313-6634
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0940039321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0904003932OtherVA LCSW LICENSE TO PRACTICE #