Individual provider · Type 1 NPI

Georgina Antakly, LICSW

Clinical Social Worker · Arlington, VA

NPI number 1306140058 Active

Practice location

1201 N Fillmore St, Apt 1011
Arlington, VA 22201-2876

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X079737 (NY)
Clinical Social Worker Primary 1041C0700X50079964 (DC)

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 1306140058

Georgina Antakly, LICSW's National Provider Identifier is 1306140058, issued on Jan 10, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Arlington, VA. The record was last updated on Jul 15, 2014.