Provider Demographics
NPI:1932352952
Name:DILLMAN, VIRGINIA G (LMSW)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:G
Last Name:DILLMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6004 HOMESTEAD CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-2635
Mailing Address - Country:US
Mailing Address - Phone:972-733-3016
Mailing Address - Fax:
Practice Address - Street 1:6004 HOMESTEAD CT
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-2635
Practice Address - Country:US
Practice Address - Phone:972-733-3016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker