Healthcare Provider Details

I. General information

NPI: 1932847084
Provider Name (Legal Business Name): MAXWELL JAMES KUHN LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 08/24/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 GRAFTON LN
BERRYVILLE VA
22611-2577
US

IV. Provider business mailing address

23266 SOUTHDOWN MANOR TER UNIT 116
ASHBURN VA
20148-8183
US

V. Phone/Fax

Practice location:
  • Phone: 540-542-0200
  • Fax:
Mailing address:
  • Phone: 571-309-2725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904018878
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: