Individual provider · Type 1 NPI

Stephanie Clark Martin, LICSW, LCSW

Clinical Social Worker · Fairfax, VA

NPI number 1932798261 Active

Practice location

10615 Judicial Dr Ste 301
Fairfax, VA 22030-7501

Call (703) 402-2091 Map

Mailing address

5709 Cedar Walk Apt 201
Centreville, VA 20121-4528

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLC50079674 (DC)
Clinical Social Worker Primary 1041C0700X0904012093 (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 1932798261

Stephanie Clark Martin, LICSW, LCSW's National Provider Identifier is 1932798261, issued on Jan 12, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Jan 12, 2021.