Provider Demographics
NPI:1861171829
Name:PIERCE, SASHA (LCSW)
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 HILLTOP WEST CTR STE 319
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6132
Mailing Address - Country:US
Mailing Address - Phone:757-371-2700
Mailing Address - Fax:757-644-1476
Practice Address - Street 1:1604 HILLTOP WEST CTR STE 319
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6132
Practice Address - Country:US
Practice Address - Phone:757-371-2700
Practice Address - Fax:757-644-1476
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040155831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical