Individual provider · Type 1 NPI
Johanna Dayanara Concepcion, LCSW
Clinical Social Worker · Fairfax, VA
Practice location
4060 Gateway Dr Apt 5115
Fairfax, VA 22030-5078
Mailing address
4060 Gateway Dr
Fairfax, VA 22030-5061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0904019833 (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 1336098664
Johanna Dayanara Concepcion, LCSW's National Provider Identifier is 1336098664, issued on Jan 28, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Jan 28, 2026.