Individual provider · Type 1 NPI

George Kermit Coyne Iii, L.C.S.W.

Clinical Social Worker · Alexandria, VA

NPI number 1659448348 Active

Practice location

112 S Pitt St
Alexandria, VA 22314-3112

Mailing address

1004 Danton Ln
Alexandria, VA 22308-2620

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904005980 (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 1659448348

George Kermit Coyne Iii, L.C.S.W.'s National Provider Identifier is 1659448348, issued on Nov 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Alexandria, VA. The record was last updated on Feb 17, 2021.