Individual provider · Type 1 NPI
James Robert Lippold, LCSW-0904012388
Clinical Social Worker · Vienna, VA
Practice location
115 Beulah Road, NE, Suite 200-B
Vienna, VA 22180
Fax (703) 255-6171
Mailing address
169 East Street, NE
Vienna, VA 22180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 090412388 (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 1063018992
James Robert Lippold, LCSW-0904012388's National Provider Identifier is 1063018992, issued on Dec 7, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vienna, VA. The record was last updated on Dec 7, 2020.