Provider Demographics
NPI:1225619711
Name:HUGHES, VIRGINIA ANN
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:ANN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GINNY
Other - Middle Name:ANN
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:942 PARK LAUGHTON RD
Mailing Address - Street 2:
Mailing Address - City:EAST DUMMERSTON
Mailing Address - State:VT
Mailing Address - Zip Code:05346-9575
Mailing Address - Country:US
Mailing Address - Phone:301-785-7136
Mailing Address - Fax:
Practice Address - Street 1:942 PARK LAUGHTON RD
Practice Address - Street 2:
Practice Address - City:EAST DUMMERSTON
Practice Address - State:VT
Practice Address - Zip Code:05346-9575
Practice Address - Country:US
Practice Address - Phone:301-785-7136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.01.342721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical