Provider Demographics
NPI:1023124526
Name:HATFIELD, EVELYN M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:M
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:EVELYN
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6246 OAKLAWN LANE
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193
Mailing Address - Country:US
Mailing Address - Phone:703-878-6765
Mailing Address - Fax:703-792-7057
Practice Address - Street 1:15941 DONALD CURTIS DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191
Practice Address - Country:US
Practice Address - Phone:703-792-4945
Practice Address - Fax:703-792-7057
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI0904006369104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker