Individual provider · Type 1 NPI

Supriya Susan Mathew, CSW

Clinical Social Worker · Norfolk, VA

NPI number 1104381086 Active

Practice location

6325 N Center Dr Ste 208
Norfolk, VA 23502-0020

Fax (757) 961-3265

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904004457 (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 1104381086

Supriya Susan Mathew, CSW's National Provider Identifier is 1104381086, issued on Feb 5, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Norfolk, VA. The record was last updated on Feb 5, 2019.