Healthcare Provider Details

I. General information

NPI: 1508959982
Provider Name (Legal Business Name): LLOYD C CHASER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10109 KRAUSE RD STE 100
CHESTERFIELD VA
23832-6501
US

IV. Provider business mailing address

10109 KRAUSE ROAD, SUITE 100
CHESTERFIELD VA
23832
US

V. Phone/Fax

Practice location:
  • Phone: 804-751-8644
  • Fax: 804-751-0648
Mailing address:
  • Phone: 804-751-8644
  • Fax: 804-751-0648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0904001741
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0904001741
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: