Organization · Type 2 NPI

Your Business CCC

Clinical Social Worker · Suffolk, VA

NPI number 1922695592 Active

Practice location

424 Market St Ste 100
Suffolk, VA 23434-5249

Fax (757) 273-6514

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1922695592

Your Business CCC's National Provider Identifier is 1922695592, issued on Dec 29, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Suffolk, VA. The record was last updated on Apr 29, 2025.