Individual provider · Type 1 NPI
Stacey Hardy, PhD, J.D., L.C.S.W
Clinical Social Worker · Fairfax, VA
Practice location
10648 Ashby Pl
Fairfax, VA 22030-5112
Mailing address
PO Box 804
Fairfax, VA 22038-0804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0904007806 (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 1174896674
Stacey Hardy, PhD, J.D., L.C.S.W's National Provider Identifier is 1174896674, issued on Feb 14, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Feb 14, 2012.