Individual provider · Type 1 NPI
Tawanda Raye Haithcock, LCSW
Clinical Social Worker · Portsmouth, VA
Practice location
415 Rockbridge Rd
Portsmouth, VA 23707-2312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 090401380 (VA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1124926670
Tawanda Raye Haithcock, LCSW's National Provider Identifier is 1124926670, issued on Oct 26, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portsmouth, VA. The record was last updated on Oct 26, 2026.