Provider Demographics
NPI:1386283646
Name:ROZIER, SHADIYAH N (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHADIYAH
Middle Name:N
Last Name:ROZIER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SHADIYAH
Other - Middle Name:N
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SHADIYAH HARRIS
Mailing Address - Street 1:1704 HALESWORTH LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-4885
Mailing Address - Country:US
Mailing Address - Phone:757-813-0711
Mailing Address - Fax:
Practice Address - Street 1:1704 HALESWORTH LN
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-4885
Practice Address - Country:US
Practice Address - Phone:757-813-0711
Practice Address - Fax:757-340-0952
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040087421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical