NPI 1013255603

Tashiko Lynn Bradshaw Broadhead, LMSW

Practitioner Social Worker Hampton, VA

Practice location

Address: 100 Emancipation Dr, Hampton, VA 23667-0001
Phone: (757) 722-9961
Mailing address: PO Box 1344, Newport News, VA 23601-0344

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence LSW0000008851 (TN)

Other Social Worker providers in Virginia →

Registry record

NPI: 1013255603
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2013
Record last updated: 17 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.