Individual provider · Type 1 NPI

Mecca Davis

Clinical Social Worker · Woodbridge, VA

NPI number 1104714633 Active

Practice location

4001 Prince William Pkwy Ste 301
Woodbridge, VA 22192-7667

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed

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 1104714633

Mecca Davis's National Provider Identifier is 1104714633, issued on Jun 24, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodbridge, VA. The record was last updated on Jun 24, 2025.