Organization · Type 2 NPI

Mountain Roots Psychotherapy

Clinical Social Worker · Chesapeake, VA

NPI number 1538074562 Active

Practice location

820 Maple Forest Ct
Chesapeake, VA 23322-7566

Other practice locations

  • 312 Cedar Lakes Dr Ste 203, Chesapeake, VA 23322-8374 · (757) 818-1896

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1538074562

Mountain Roots Psychotherapy's National Provider Identifier is 1538074562, issued on Aug 14, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chesapeake, VA. The record was last updated on Aug 14, 2026.