Individual provider · Type 1 NPI

Mary Teresa Anderson, LCSW

Clinical Social Worker · Fairfax, VA

NPI number 1750403986 Active

Practice location

10560 Main St, Suite 415
Fairfax, VA 22030-7182

Call (703) 352-8535 Map

Fax (703) 352-8805

Mailing address

7500 Mullingar Ct
Springfield, VA 22153-2036

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904002224 (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 1750403986

Mary Teresa Anderson, LCSW's National Provider Identifier is 1750403986, issued on Apr 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Jul 8, 2007.