Individual provider · Type 1 NPI

Stephany Anne Cockrum

Clinical Social Worker · Fort Eustis, VA

NPI number 1245657329 Active

Practice location

576 Jefferson Ave
Fort Eustis, VA 23604-1373

Fax (757) 314-7854

Mailing address

505 Schooner Blvd
Williamsburg, VA 23185-5277

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12114 (MD)

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 1245657329

Stephany Anne Cockrum's National Provider Identifier is 1245657329, issued on Mar 26, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Eustis, VA. The record was last updated on Mar 26, 2014.