Provider Demographics
NPI:1558846048
Name:HUGHES, DESIREE (MS, MSW, LICSW/LCSW)
Entity Type:Individual
Prefix:
First Name:DESIREE
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MS, MSW, LICSW/LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 821
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25901-0821
Mailing Address - Country:US
Mailing Address - Phone:304-712-7374
Mailing Address - Fax:
Practice Address - Street 1:110 MAIN ST
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-4611
Practice Address - Country:US
Practice Address - Phone:304-712-7374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040147751041C0700X
WVDP009453811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical