Individual provider · Type 1 NPI

Sage Annaleise Bolte, PhD, LCSW, OSW-C

Clinical Social Worker · Herndon, VA

NPI number 1669716015 Active

Practice location

12821 Tewksbury Dr
Herndon, VA 20171-2428

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904006107 (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 1669716015

Sage Annaleise Bolte, PhD, LCSW, OSW-C's National Provider Identifier is 1669716015, issued on Nov 23, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Herndon, VA. The record was last updated on Nov 23, 2012.