Individual provider · Type 1 NPI

Kenneth Richard Thau, M.S.W., J.D.

Clinical Social Worker · Bristow, VA

NPI number 1013980523 Active

Practice location

7969 Sequoia Park Way
Bristow, VA 20136-1286

Mailing address

PO Box 807
Bristow, VA 20136-0807

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904003262 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1013980523

Kenneth Richard Thau, M.S.W., J.D.'s National Provider Identifier is 1013980523, issued on Feb 8, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bristow, VA. The record was last updated on Feb 4, 2025.