Individual provider · Type 1 NPI

Katelyn Nicole Kukla, LCSW

Clinical Social Worker · Fairfax, VA

NPI number 1508543877 Active

Practice location

10520 Judicial Dr
Fairfax, VA 22030-5115

Call (571) 474-5361 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904015534 (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 1508543877

Katelyn Nicole Kukla, LCSW's National Provider Identifier is 1508543877, issued on Jun 29, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Jul 14, 2023.