Individual provider · Type 1 NPI

Mary B. Yrd Jeanes, LCSW

Clinical Social Worker · Woodbridge, VA

NPI number 1316168750 Active

Practice location

12761 Darby Brook Ct, Suite 101
Woodbridge, VA 22192-2405

Call (703) 490-5090 Map

Fax (703) 490-1809

Mailing address

4455 Brookfield Corporate Dr, Suite 201
Chantilly, VA 20151-1670

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904006536 (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 1316168750

Mary B. Yrd Jeanes, LCSW's National Provider Identifier is 1316168750, issued on May 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodbridge, VA. The record was last updated on Jul 8, 2007.