Individual provider · Type 1 NPI

Josandra Defazio, LGSW

Clinical Social Worker · Bridgeport, WV

NPI number 1609598671 Active

Practice location

65 Professional Pl Ste 102
Bridgeport, WV 26330-0259

Call (304) 848-5770 Map

Fax (304) 848-5477

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XDP00946344 (WV)

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…

10 other providers at this address

Other clinical social worker providers in Bridgeport

See all in Bridgeport →

About NPI 1609598671

Josandra Defazio, LGSW's National Provider Identifier is 1609598671, issued on Sep 15, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bridgeport, WV. The record was last updated on Dec 9, 2025.