Mitnick, Doris

Mitnick, Doris is an individual health care provider with primary practice located at 601 Childrens Ln 4Th Floor, Social Work Dept, Norfolk VA 23507-1910. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mitnick, Doris can be contacted via phone (757) 668-7937.

Contact Information

Primary practice address
601 Childrens Ln 4Th Floor, Social Work Dept Norfolk VA 23507-1910
Fax: (757) 668-7950
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0904003641 Virginia

Profile Details

NPI number 1952335648
LBN Legal business name Mitnick, Doris
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

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 1952335648 NPPES
Virginia MEDICAID 89-50156
Virginia Other 217871
Virginia Other O83200M

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