Provider Demographics
NPI:1306809801
Name:ASPREY, SUSAN M (LCSW)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:M
Last Name:ASPREY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:909 LEVEE CT
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-4123
Mailing Address - Country:US
Mailing Address - Phone:757-485-4787
Mailing Address - Fax:757-481-6311
Practice Address - Street 1:1745 CAMELOT DR
Practice Address - Street 2:SUITE 200
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2435
Practice Address - Country:US
Practice Address - Phone:757-481-6000
Practice Address - Fax:757-481-6311
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040037791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA263597OtherMAMSI
VA243506OtherANTHEM BLUE CROSS
VAS62658Medicare UPIN