Individual provider · Type 1 NPI
Kelly Manya, LCSW
Clinical Social Worker · Fairfax Station, VA
Practice location
8455 Hampton Way
Fairfax Station, VA 22039-2738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0904004334 (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 1164858817
Kelly Manya, LCSW's National Provider Identifier is 1164858817, issued on Sep 25, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax Station, VA. The record was last updated on Sep 25, 2013.