Individual provider · Type 1 NPI

Stacy Jennings Mustico, LCSW, CSAC

Clinical Social Worker · Fairfax, VA

NPI number 1811580343 Active

Practice location

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512

Call (571) 373-1226 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904012593 (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 1811580343

Stacy Jennings Mustico, LCSW, CSAC's National Provider Identifier is 1811580343, issued on Feb 16, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Feb 16, 2021.