Provider Demographics
NPI:1104874965
Name:WELPE, DEBRA L (LCSW)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:WELPE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5267 GREENWICH RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6028
Mailing Address - Country:US
Mailing Address - Phone:757-552-0884
Mailing Address - Fax:757-552-0887
Practice Address - Street 1:5267 GREENWICH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6028
Practice Address - Country:US
Practice Address - Phone:757-552-0884
Practice Address - Fax:757-552-0887
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040047951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA142963OtherBC/BS OF VA
VAP00065129OtherRAILROAD MEDICARE
VA085442MOtherSENTARA
VA180746OtherANTHEM BC/BS
VAP00065129OtherRAILROAD MEDICARE
VAC09677 00W655D01Medicare ID - Type Unspecified