Individual provider · Type 1 NPI

Debbie Despina Boudouvas-Mannos, L.C.S.W.

Clinical Social Worker · Vienna, VA

NPI number 1922243757 Active

Practice location

131 Park St NE, 3rd Floor, Suite B
Vienna, VA 22180-4641

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904006703 (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 1922243757

Debbie Despina Boudouvas-Mannos, L.C.S.W.'s National Provider Identifier is 1922243757, issued on Dec 8, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vienna, VA. The record was last updated on Dec 17, 2013.