Healthcare Provider Details

I. General information

NPI: 1881243368
Provider Name (Legal Business Name): JULIA HESS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2019
Last Update Date: 05/11/2022
Certification Date: 05/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21641 RIDGETOP CIR
STERLING VA
20166-4246
US

IV. Provider business mailing address

706 DUNCAN PL SE
LEESBURG VA
20175-8986
US

V. Phone/Fax

Practice location:
  • Phone: 703-771-5100
  • Fax:
Mailing address:
  • Phone: 703-728-5092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number090404013944
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: