Individual provider · Type 1 NPI

Michael A. Suppa, LCSW

Clinical Social Worker · Fairfax, VA

NPI number 1114937943 Active

Practice location

12011 Government Center Pkwy
Fairfax, VA 22035-1100

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904003713 (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 1114937943

Michael A. Suppa, LCSW's National Provider Identifier is 1114937943, issued on Aug 8, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Apr 3, 2024.