Provider Demographics
NPI:1134184302
Name:DRAKE, KARLA KAY (MSW)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:KAY
Last Name:DRAKE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:KAY
Other - Last Name:ALBAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:317 OFFICE SQUARE LN
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3650
Mailing Address - Country:US
Mailing Address - Phone:757-650-6645
Mailing Address - Fax:844-782-8379
Practice Address - Street 1:317 OFFICE SQUARE LN
Practice Address - Street 2:SUITE 101B
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3650
Practice Address - Country:US
Practice Address - Phone:757-650-6645
Practice Address - Fax:844-782-8379
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2019-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040061001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical