Individual provider · Type 1 NPI

Gelila Samuel Habte

Clinical Social Worker · Fairfax, VA

NPI number 1639649148 Active

Practice location

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512

Mailing address

18828 Broken Oak Rd
Boyds, MD 20841-4222

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 1639649148

Gelila Samuel Habte's National Provider Identifier is 1639649148, issued on Nov 27, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Nov 27, 2018.