Individual provider · Type 1 NPI

Freddie Dean Vines

Clinical Social Worker · Newport News, VA

NPI number 1366411290 Active

Practice location

703 Thimble Shoals Blvd, A-3
Newport News, VA 23606-2576

Mailing address

8589 E Creek Ln
Hayes, VA 23072-3748

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904002078 (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 1366411290

Freddie Dean Vines's National Provider Identifier is 1366411290, issued on Mar 14, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newport News, VA. The record was last updated on Jan 17, 2008.