Provider Demographics
NPI:1427333657
Name:WILCOX, JULIE M (LCSW)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:WILCOX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9846 LORI RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-6695
Mailing Address - Country:US
Mailing Address - Phone:804-419-4122
Mailing Address - Fax:804-482-3782
Practice Address - Street 1:5002 MONUMENT AVE STE 201
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3634
Practice Address - Country:US
Practice Address - Phone:804-497-4676
Practice Address - Fax:804-497-4677
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040068721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical