Individual provider · Type 1 NPI

Amanda Carlson

Clinical Social Worker · Fairfax, VA

NPI number 1073442166 Active

Practice location

3554 Chain Bridge Rd Ste 200
Fairfax, VA 22030-2709

Call (703) 896-7628 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904020499 (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 1073442166

Amanda Carlson's National Provider Identifier is 1073442166, issued on May 15, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on May 15, 2026.