Individual provider · Type 1 NPI

Edward John Whitacre, LCSW

Clinical Social Worker · Newport News, VA

NPI number 1417965583 Active

Practice location

11825 Rock Landing Dr, The James Building
Newport News, VA 23606-4236

Call (757) 873-1736 Map

Fax (757) 873-1028

Mailing address

4657 Massena Dr
Williamsburg, VA 23188-1261

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904002390 (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 1417965583

Edward John Whitacre, LCSW's National Provider Identifier is 1417965583, issued on Aug 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newport News, VA. The record was last updated on Jul 8, 2007.