Individual provider · Type 1 NPI

Jacqueline Leigh Tyler, LCSW

Clinical Social Worker · Vienna, VA

NPI number 1871600635 Active

Practice location

2504 Patrick St
Vienna, VA 22180-6844

Fax (703) 207-9740

Mailing address

2516 N Dearing St
Alexandria, VA 22302-1807

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904005809 (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 1871600635

Jacqueline Leigh Tyler, LCSW's National Provider Identifier is 1871600635, issued on Aug 25, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vienna, VA. The record was last updated on Jul 8, 2007.