Individual provider · Type 1 NPI

Lisa Jackson-Wardlaw, LCSW

Clinical Social Worker · Chantilly, VA

NPI number 1427404599 Active

Practice location

13503 Lee Jackson Memorial Hwy
Chantilly, VA 20151-3401

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X17963 (LA)
Clinical Social Worker 1041C0700XL14171 (OR)
Clinical Social Worker Primary 1041C0700X0904010532 (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 1427404599

Lisa Jackson-Wardlaw, LCSW's National Provider Identifier is 1427404599, issued on May 9, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chantilly, VA. The record was last updated on Jul 21, 2023.