MR. WILSON CHAPMAN HURLEY (NPI# 1033211602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033211602 |
| Entity Type | Individual |
| Full Name | MR. WILSON CHAPMAN HURLEY |
| Credential | LCSW |
| Practice Address |
13890 Braddock Rd Suite 312 Centreville VA 20121-2435 |
| Mailing Address |
5116 Pommeroy Dr Fairfax VA 22032-2806 |
| Practice Telephone | 7038153800 |
| Mailing Telephone | 7035035487 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904001902 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LCSW NUMBER | 0904001902 | 01 |
| Street Address |
13890 BRADDOCK RD SUITE 312 |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20121-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912252 | Kenneth Robert Bergman | Allergy & Immunology | 13890 Braddock Rd, Ste 206, Centreville, VA 20121-2437 | 2005-06-15 |
| 1023556354 | Alexandra Miceli | Occupational Therapist | 13890 Braddock Rd, Ste. 207, Centreville, VA 20121-2435 | 2017-02-07 |
| 1538607254 | Kinder Life Pediatrics | Pediatrics | 13890 Braddock Rd, Suite 205, Centreville, VA 20121-2435 | 2017-02-01 |
| 1306201736 | Asma Jamil | Physician Assistant | 13890 Braddock Rd, #100, Centreville, VA 20121-2435 | 2015-12-30 |
| 1841672052 | Michael Mahoney Jr. | Speech-Language Pathologist | 13890 Braddock Rd, Ste. 207, Centreville, VA 20121-2435 | 2015-06-24 |
| 1427438118 | N&s Dental Group | Dentist | 13890 Braddock Rd, 202, Centreville, VA 20121-2435 | 2015-06-08 |
| 1356721419 | Kelly Anne Fini | Physical Therapist | 13890 Braddock Rd, Ste 207, Centreville, VA 20121-2435 | 2015-06-04 |
| 1265832398 | Jacqueline Michelle Stiles | Physical Therapist | 13890 Braddock Rd, Suite 102, Centreville, VA 20121-2435 | 2014-08-26 |
| 1053747543 | Youngchul Jang | Chiropractor | 13890 Braddock Rd, Suite 200, Centreville, VA 20121-2435 | 2013-09-17 |
| 1477991990 | Jennifer Michelle Skaggs | Speech-Language Pathologist | 13890 Braddock Rd, Suite 205, Centreville, VA 20121-2435 | 2013-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906994 | Everyone Inc. | Durable Medical Equipment & Medical Supplies | 6362 James Harris Way, Centreville, VA 20121 | 2019-05-09 |
| 1154845139 | Dien Tu | Pharmacist | 6321 Powder Flask Ct., Centreville, VA 20121 | 2017-08-01 |
| 1053865337 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Highway, #109b, Centreville, VA 20121 | 2016-08-04 |
| 1265829808 | Trisha Yamamoto | Chiropractor | 14215 E. Centreville Square, Centreville, VA 20121 | 2015-04-21 |
| 1811305733 | Catherine Elizabeth Sims, LLC | Clinic/Center | 6705 Bay Valley Lane, Centreville, VA 20121 | 2014-07-23 |
| 1194138438 | All In A Day Senior Care Services.com | Home Health | 6913 Confederate Ridge Lane, Centerville, VA 20121 | 2014-06-04 |
| 1447519483 | James Hamilton | Occupational Therapy Assistant | 6220 William Mosby Dr, Centreville, VA 20121 | 2012-05-11 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1134426372 | One Stop Pharmacy Inc | Pharmacy | 13818-b Braddock Rd, Centreville, VA 20121 | 2011-02-24 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| Find all providers in zip 20121 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184249476 | Emily Anna Sausville | Social Worker | 5856 Westwater Ct, Centreville, VA 20121-3055 | 2020-06-11 |
| 1053802603 | Elizabeth Gilhooley Ayrovainen | Social Worker | 6548 Skylemar Trl, Centreville, VA 20121-3837 | 2018-05-18 |
| 1922349513 | Kristina Kallini | Social Worker | 13525 Leland Rd., Centreville, VA 20120 | 2013-03-07 |
| 1750651535 | Lindsay Eileen Knapp | Social Worker | 677 E Main St, Suite A, Centreville, MI 49032-8524 | 2012-01-10 |
| 1033409289 | Corsica Family Therapy, LLC | Social Worker | 205 E Water St, Suite C, Centreville, MD 21617-1155 | 2011-04-08 |
| 1255656369 | Sandra Giles Boo | Social Worker | 14474 Glencrest Cir, Centreville, VA 20120-4132 | 2010-03-31 |
| 1609077171 | Jacqueline Benoit Schott | Social Worker | 270 W. Main St., Centreville, MS 38631 | 2007-05-30 |
| 1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
| 1851417174 | Rebecca A Julian | Social Worker | 205 E Water St Ste C, Centreville, MD 21617-1155 | 2007-03-21 |
| 1174600522 | Stacy M Linihan | Social Worker | 658 East Main, Centreville, MI 49032 | 2006-11-01 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 20121 |
Please comment or provide details below to improve the information on MR. WILSON CHAPMAN HURLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.