Individual
MR. DOUGLAS G. MORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5040 VIRGINIA BEACH BLVD. SUITE 105, VIRGINIA BEACH, VA 23462
(757) 985-4740
(757) 819-6292
Mailing address
1014 PRISCILLA LANE, CHESAPEAKE, VA 23322
(757) 803-3325
(757) 819-6292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002388
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043842
VALUE OPTIONS
VA
01
—
085586
SENTARA/OPTIMA
VA
01
—
143678
ANTHEM TRIGON
VA
01
—
263116000
MAGELLEAN
VA
01
—
298610
MAMSI UNITED HEALTHCARE
VA
Enumeration date
09/14/2005
Last updated
09/02/2020
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