Individual provider · Type 1 NPI

Fedena C. Wade, LCSW

Clinical Social Worker · Danville, VA

NPI number 1114776309 Active

Practice location

1115 Franklin Tpke Ste 10
Danville, VA 24540-1362

Mailing address

PO Box 2083
Petersburg, VA 23804-1383

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X0904016859 (VA)
Social Worker 104100000X0904016859 (VA)
Clinical Social Worker Primary 1041C0700X0904016859 (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 1114776309

Fedena C. Wade, LCSW's National Provider Identifier is 1114776309, issued on May 18, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Danville, VA. The record was last updated on May 18, 2024.