Individual provider · Type 1 NPI

Lizeth Abigail San Juan, MSW

Clinical Social Worker · Leesburg, VA

NPI number 1386561025 Active

Practice location

1602 Village Market Blvd SE Ste 250
Leesburg, VA 20175-4722

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1386561025

Lizeth Abigail San Juan, MSW's National Provider Identifier is 1386561025, issued on Jul 2, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Leesburg, VA. The record was last updated on Jul 2, 2026.