Search › Virginia › 1041C0700X
Jennifer Black, LCSW
NPI 1912370354 · on the registry since 2015
Practice
- Address
- 609 Independence Pkwy Ste 115
Chesapeake, VA 23320 - Phone
- (757) 312-8002
- Fax
- (757) 312-9299
- Organisation at this address
- Mary Giencke
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-11-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia