Individual provider · Type 1 NPI

Kelly Facciola, LCSW

Clinical Social Worker · Woodbridge, VA

NPI number 1598873101 Active

Practice location

12866 Harbor Dr
Woodbridge, VA 22192-2921

Call (703) 494-4164 Map

Fax (703) 563-9304

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904005064 (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 1598873101

Kelly Facciola, LCSW's National Provider Identifier is 1598873101, issued on Aug 25, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodbridge, VA. The record was last updated on Aug 7, 2019.