Individual provider · Type 1 NPI

Thea Lenore Bryan, LCSW-S

Clinical Social Worker · Woodbridge, VA

NPI number 1881498640 Active

Practice location

2510 Hunter Pl Ste 101
Woodbridge, VA 22192-3938

Fax (571) 402-7907

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0906015909 (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 1881498640

Thea Lenore Bryan, LCSW-S's National Provider Identifier is 1881498640, issued on Apr 2, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodbridge, VA. The record was last updated on Apr 2, 2025.