Individual provider · Type 1 NPI

Lucretia Mahan, ASW

Clinical Social Worker · Virginia Beach, VA

NPI number 1265017198 Active

Practice location

1120 Laskin Rd Ste 104
Virginia Beach, VA 23451-5273

Mailing address

1864 Haberdasher Pl
Virginia Beach, VA 23464-6383

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X963383 (CA)
Clinical Social Worker Primary 1041C0700X0904016905 (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 1265017198

Lucretia Mahan, ASW's National Provider Identifier is 1265017198, issued on Mar 11, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Virginia Beach, VA. The record was last updated on Aug 25, 2024.