Individual provider · Type 1 NPI
Chrisonia Reneice Broadnax, LCSW
Clinical Social Worker · Fredericksburg, VA
Practice location
205 Lookout Way
Fredericksburg, VA 22405-1244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Social Worker | 104100000X | None listed |
| Clinical Social Worker | 1041C0700X | 34010681A (IN) |
| Clinical Social Worker Primary | 1041C0700X | 0904015868 (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 1770863979
Chrisonia Reneice Broadnax, LCSW's National Provider Identifier is 1770863979, issued on Aug 19, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fredericksburg, VA. The record was last updated on Oct 3, 2023.