Provider Demographics
NPI:1154698652
Name:HOWARD, ALFRED JOHN (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:JOHN
Last Name:HOWARD
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3509 VIRGINIA BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-4421
Mailing Address - Country:US
Mailing Address - Phone:312-340-8109
Mailing Address - Fax:757-538-7902
Practice Address - Street 1:3509 VIRGINIA BEACH BLVD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-4421
Practice Address - Country:US
Practice Address - Phone:312-340-8109
Practice Address - Fax:757-538-7902
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040083881041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical