Individual provider · Type 1 NPI

Kyle Augustus Stephan

Clinical Social Worker · Purcellville, VA

NPI number 1851172902 Active

Practice location

17337 Pickwick Dr Ste D
Purcellville, VA 20132-6176

Mailing address

17333 Pickwick Dr Ste C
Purcellville, VA 20132-6174

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0906014693 (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 1851172902

Kyle Augustus Stephan's National Provider Identifier is 1851172902, issued on Oct 12, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Purcellville, VA. The record was last updated on Oct 19, 2026.