Individual provider · Type 1 NPI

Theodora Regina Proctor, MSW, LICSW, LCSW-C

Clinical Social Worker · Washington, DC

NPI number 1649427741 Active

Practice location

3035 Alabama Ave SE
Washington, DC 20020-3007

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC302974 (DC)
Clinical Social Worker 1041C0700X10678 (MD)

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 1649427741

Theodora Regina Proctor, MSW, LICSW, LCSW-C's National Provider Identifier is 1649427741, issued on Aug 20, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, DC. The record was last updated on Jun 12, 2009.