Provider Demographics
NPI:1164656179
Name:HOSKINS, ELEANOR R (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:ELEANOR
Middle Name:R
Last Name:HOSKINS
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 1:11013 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-6017
Mailing Address - Country:US
Mailing Address - Phone:804-426-2422
Mailing Address - Fax:
Practice Address - Street 1:2405 W MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-4448
Practice Address - Country:US
Practice Address - Phone:804-873-3774
Practice Address - Fax:804-359-3431
Is Sole Proprietor?:No
Enumeration Date:2009-05-05
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040071131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical