Individual provider · Type 1 NPI
Michelle E. Booth, L.C.S.W.
Clinical Social Worker · Fairfax, VA
Practice location
3900 Jermantown Rd Ste 200
Fairfax, VA 22030-4900
Fax (703) 359-6546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0904006947 (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 1861796971
Michelle E. Booth, L.C.S.W.'s National Provider Identifier is 1861796971, issued on Jan 4, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Jan 4, 2011.