Individual provider · Type 1 NPI

Ruth Provenzano, LCSW

Clinical Social Worker · Vienna, VA

NPI number 1477869246 Active

Practice location

9924 Steeple Run
Vienna, VA 22181-3157

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904008275 (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 1477869246

Ruth Provenzano, LCSW's National Provider Identifier is 1477869246, issued on Aug 31, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vienna, VA. The record was last updated on Jul 2, 2013.