Provider Demographics
NPI:1497778708
Name:HALL, JULIA LUMSDEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:LUMSDEN
Last Name:HALL
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 1:325 E CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-2928
Mailing Address - Country:US
Mailing Address - Phone:276-666-2605
Mailing Address - Fax:276-632-2991
Practice Address - Street 1:325 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-2928
Practice Address - Country:US
Practice Address - Phone:276-666-2605
Practice Address - Fax:276-632-2991
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010067081Medicaid
VA010067081Medicaid