Individual provider · Type 1 NPI

Diane Lynn Lasichak, LCSW, LCSW-C, CMC

Clinical Social Worker · Ashburn, VA

NPI number 1861812042 Active

Practice location

20459 Old Grey Pl
Ashburn, VA 20147-5522

Call (571) 333-2889 Map

Mailing address

19309 Winmeade Dr, Suite #334
Lansdowne, VA 20176-6507

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904004583 (VA)
Clinical Social Worker 1041C0700X10153 (MD)

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 1861812042

Diane Lynn Lasichak, LCSW, LCSW-C, CMC's National Provider Identifier is 1861812042, issued on Apr 25, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ashburn, VA. The record was last updated on Apr 25, 2014.