Organization · Type 2 NPI

Lifespan Counseling Services, LLC

Clinical Social Worker · Fairfax, VA

NPI number 1407173248 Active

Practice location

8500 Executive Park Ave Ste 204
Fairfax, VA 22031-2253

Call (703) 876-8480 Map

Mailing address

5104 Coleridge Dr
Fairfax, VA 22032-2420

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904006801 (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 1407173248

Lifespan Counseling Services, LLC's National Provider Identifier is 1407173248, issued on May 3, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Apr 29, 2015.