Individual provider · Type 1 NPI

Eric Edward McCollum, PhD

Clinical Social Worker · Reston, VA

NPI number 1538499595 Active

Practice location

1984 Isaac Newton Sq W, Suite 204
Reston, VA 20190-5038

Mailing address

3936 Tallow Tree Pl
Fairfax, VA 22033-2467

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904002459 (VA)
Marriage & Family Therapist 106H00000X0717000284 (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 1538499595

Eric Edward McCollum, PhD's National Provider Identifier is 1538499595, issued on Jan 13, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Reston, VA. The record was last updated on Sep 5, 2016.