Provider Demographics
NPI:1366403123
Name:SPINELLI, VICTORIA MARIE (LCSW, CSAC)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:MARIE
Last Name:SPINELLI
Suffix:
Gender:F
Credentials:LCSW, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 GREEN SPRING CT
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-1727
Mailing Address - Country:US
Mailing Address - Phone:757-850-3266
Mailing Address - Fax:
Practice Address - Street 1:BLDG 576 JEFFERSON AVE.
Practice Address - Street 2:MCDONALD ARMY HEALTH CENTER
Practice Address - City:FT EUSTIS
Practice Address - State:VA
Practice Address - Zip Code:23604-5548
Practice Address - Country:US
Practice Address - Phone:757-604-1474
Practice Address - Fax:757-604-1474
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710102132101YA0400X
VA09040051811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)