Organization · Type 2 NPI

Reevolve,llc

Clinical Social Worker · Ashburn, VA

NPI number 1356881908 Active

Practice location

44330 Premier Plz Ste 100
Ashburn, VA 20147-5071

Mailing address

PO Box 4025, 100
Leesburg, VA 20177-8198

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Pastoral Counselor 101YP1600XNone listed
Psychologist 103T00000XNone listed
Clinical Social Worker 1041C0700X14604 (MD)
Clinical Social Worker Primary 1041C0700X0904007067 (VA)
Marriage & Family Therapist 106H00000XNone listed

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 1356881908

Reevolve,llc's National Provider Identifier is 1356881908, issued on Mar 1, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ashburn, VA. The record was last updated on Oct 5, 2026.