Individual provider · Type 1 NPI
Gwynn Johnson Polidoro, LCSW
Clinical Social Worker · Radford, VA
Practice location
200 8th St
Radford, VA 24141-2426
Fax (540) 731-3375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0904001071 (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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- Laura Thompson, LCSWClinical Social Worker Radford, VA NPI 1386255818
- Sheila Jones Lightburn, LCSW MSWClinical Social Worker Radford, VA NPI 1508966755
- Summer Rain Lisanti, LCSWClinical Social Worker Radford, VA NPI 1528352762
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About NPI 1528027075
Gwynn Johnson Polidoro, LCSW's National Provider Identifier is 1528027075, issued on Mar 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Radford, VA. The record was last updated on Jul 13, 2026.