MEDICARE: VIRGINIA ANN HUGHES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	089.01.34272	VT

General Provider Information

NPI Number	:	1225619711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA ANN HUGHES

Provider Business Mailing Address
First Line	:	942 PARK LAUGHTON RD
Second Line	:
City	:	EAST DUMMERSTON
State	:	VT
Zip	:	05346-9575
Country	:	US
Telephone Number	:	301-785-7136
Fax Number	:

Provider Business Practice Location Address
First Line	:	942 PARK LAUGHTON RD
Second Line	:
City	:	EAST DUMMERSTON
State	:	VT
Zip	:	05346-9575
Country	:	US
Telephone Number	:	301-785-7136
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2021
Last Update Date	:	04/16/2021

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