Individual provider · Type 1 NPI

Tracy Joan Ryan Kidd, LCSW

Clinical Social Worker · Vienna, VA

NPI number 1720318231 Active

Practice location

410 Maple Ave W Ste 7
Vienna, VA 22180-4224

Call (703) 281-9313 Map

Fax (703) 281-9769

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904001855 (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 1720318231

Tracy Joan Ryan Kidd, LCSW's National Provider Identifier is 1720318231, issued on Jan 5, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vienna, VA. The record was last updated on Jan 5, 2010.