Provider Demographics
NPI:1841980927
Name:PINNOCK, SHAKIRRA BARBARA
Entity type:Individual
Prefix:MS
First Name:SHAKIRRA
Middle Name:BARBARA
Last Name:PINNOCK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 LECKIE ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704-1904
Mailing Address - Country:US
Mailing Address - Phone:571-354-0454
Mailing Address - Fax:
Practice Address - Street 1:1020 LECKIE ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-1904
Practice Address - Country:US
Practice Address - Phone:571-354-0454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1744G0900X, 101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1744G0900XOther Service ProvidersSpecialistGraphics Designer
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)