Provider Demographics
NPI:1285643387
Name:GILCHRIST, CHRISTINE F (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:F
Last Name:GILCHRIST
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 1:3802 POPLAR HILL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5531
Mailing Address - Country:US
Mailing Address - Phone:757-483-5111
Mailing Address - Fax:757-686-4845
Practice Address - Street 1:3802 POPLAR HILL RD
Practice Address - Street 2:SUITE B
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5531
Practice Address - Country:US
Practice Address - Phone:757-483-5111
Practice Address - Fax:757-686-4845
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040015191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical