Provider Demographics
NPI:1356836696
Name:HULCHER, CHANDRA (LCSW)
Entity Type:Individual
Prefix:
First Name:CHANDRA
Middle Name:
Last Name:HULCHER
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 1:711 LAKEWATER DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-6261
Mailing Address - Country:US
Mailing Address - Phone:804-350-6265
Mailing Address - Fax:
Practice Address - Street 1:4902 FITZHUGH AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3510
Practice Address - Country:US
Practice Address - Phone:804-353-8958
Practice Address - Fax:804-353-0837
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040075861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical