Individual provider · Type 1 NPI

Kelly William Tappenbeck

Clinical Social Worker · Woodbridge, VA

NPI number 1144451709 Active

Practice location

15941 Donald Curtis Dr Ste 200
Woodbridge, VA 22191-4257

Call (703) 792-7838 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904008454 (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 1144451709

Kelly William Tappenbeck's National Provider Identifier is 1144451709, issued on Jul 30, 2009. 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 16, 2016.