Organization · Type 2 NPI

Mind Over Mayhem LLC

Clinical Social Worker · Fairfax, VA

NPI number 1215741004 Active

Practice location

5102 Gunpowder Rd
Fairfax, VA 22030-6510

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1215741004

Mind Over Mayhem LLC's National Provider Identifier is 1215741004, issued on Feb 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Sep 24, 2025.