Individual provider · Type 1 NPI

Mary Taverner, LCSW

Clinical Social Worker · Fairfax, VA

NPI number 1659046803 Active

Practice location

3611 Chain Bridge Rd Ste C
Fairfax, VA 22030-3246

Call (703) 397-8163 Map

Mailing address

1105 S Edgewood St # 2
Arlington, VA 22204-4815

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLC50081378 (DC)
Clinical Social Worker Primary 1041C0700X0904010991 (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 1659046803

Mary Taverner, LCSW's National Provider Identifier is 1659046803, issued on Aug 10, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Aug 10, 2021.