Provider Demographics
NPI:1457168700
Name:RECKLING, NANCY HAMILTON (MSW)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:HAMILTON
Last Name:RECKLING
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 WINSTON SALEM AVE APT 602
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6911
Mailing Address - Country:US
Mailing Address - Phone:757-621-1684
Mailing Address - Fax:
Practice Address - Street 1:600 25TH ST
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-4044
Practice Address - Country:US
Practice Address - Phone:757-621-1684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAPPS-06004291041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool