Dagen, Amy Helene

Dagen, Amy Helene is an individual health care provider with primary practice located at 7447 Central Business Park Dr , Norfolk VA 23513-2867. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Dagen, Amy Helene can be contacted via phone (757) 756-5600.

Contact Information

Primary practice address
7447 Central Business Park Dr Norfolk VA 23513-2867
Phone: (757) 756-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 0904004768 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0904004768 Virginia

Profile Details

NPI number 1124198858
LBN Legal business name Dagen, Amy Helene
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jun 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124198858 NPPES
Virginia MEDICAID 8937826
Virginia MEDICAID 8937834
Virginia Other 384747
Virginia MEDICAID 8937842

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