Individual provider · Type 1 NPI
John Jeffrey Willis, LCSW
Clinical Social Worker · Richmond, VA
Practice location
9244 St Charles Cir
Richmond, VA 23235-2413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0904002484 (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…
Another provider at this address
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About NPI 1174560189
John Jeffrey Willis, LCSW's National Provider Identifier is 1174560189, issued on May 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richmond, VA. The record was last updated on Sep 1, 2026.