Individual provider · Type 1 NPI

Maryjo Blair, L.C.S.W.

Clinical Social Worker · Leesburg, VA

NPI number 1386749869 Active

Practice location

102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544

Call (703) 771-5176 Map

Fax (703) 777-0170

Mailing address

42794 Oatyer Ct
Broadlands, VA 20148-5000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904002474 (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 1386749869

Maryjo Blair, L.C.S.W.'s National Provider Identifier is 1386749869, issued on Sep 13, 2006. 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 8, 2007.