Provider Demographics
NPI:1831358266
Name:YOUNKINS, CHRISTOPHER B (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:B
Last Name:YOUNKINS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8809 GRAMEL ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23503-4813
Mailing Address - Country:US
Mailing Address - Phone:757-376-0736
Mailing Address - Fax:844-889-4940
Practice Address - Street 1:317 OFFICE SQUARE LN STE B101
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3652
Practice Address - Country:US
Practice Address - Phone:757-376-0736
Practice Address - Fax:844-889-4940
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040068501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1831358266Medicaid