Healthcare Provider Details

I. General information

NPI: 1699452540
Provider Name (Legal Business Name): DIANA RACHEL KUHL-CHAPMAN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RHYS KUHL MSW

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 07/03/2023
Certification Date: 07/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 PRINCE WILLIAM PKWY STE 301
WOODBRIDGE VA
22192-7667
US

IV. Provider business mailing address

3507 CASTLE HILL DR
WOODBRIDGE VA
22193-5326
US

V. Phone/Fax

Practice location:
  • Phone: 540-779-3192
  • Fax:
Mailing address:
  • Phone: 540-779-3192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: