Individual provider · Type 1 NPI

Michelle Ann Ensrud Lam, LCSW

Clinical Social Worker · Chantilly, VA

NPI number 1255809240 Active

Practice location

4460 Brookfield Corporate Dr Ste H
Chantilly, VA 20151-1671

Fax (571) 933-8438

Mailing address

3305 Kinfolk Ct
Herndon, VA 20171-4011

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904010770 (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 1255809240

Michelle Ann Ensrud Lam, LCSW's National Provider Identifier is 1255809240, issued on Nov 7, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chantilly, VA. The record was last updated on Jan 6, 2020.