Individual provider · Type 1 NPI

Tucker J. Landry, LCSW

Clinical Social Worker · Fairfax, VA

NPI number 1700364585 Active

Practice location

3580 Joseph Siewick Dr Ste 306
Fairfax, VA 22033-1764

Fax (703) 391-4521

Mailing address

11269 Silentwood Ln
Reston, VA 20191-4137

Other practice locations

  • 44081 Pipeline Plz Ste 225, Ashburn, VA 20147-5891 · (703) 371-3540

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X0903002342 (VA)
Clinical Social Worker Primary 1041C0700X0904010728 (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 1700364585

Tucker J. Landry, LCSW's National Provider Identifier is 1700364585, issued on Aug 2, 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 Jan 5, 2022.