Individual provider · Type 1 NPI

T'la Shabazz, LCSW

Clinical Social Worker · Suffolk, VA

NPI number 1952179913 Active

Practice location

7025 Harbour View Blvd Ste 119
Suffolk, VA 23435-2762

Call (757) 966-2805 Map

Fax (757) 673-2586

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0906014576 (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 1952179913

T'la Shabazz, LCSW's National Provider Identifier is 1952179913, issued on Dec 19, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Suffolk, VA. The record was last updated on Aug 7, 2026.