Individual provider · Type 1 NPI

Theannah Remi Louise Phillips, LICSW

Clinical Social Worker · Leesburg, VA

NPI number 1952056459 Active

Practice location

1 Harrison St SE
Leesburg, VA 20175-3102

Call (703) 777-0100 Map

Mailing address

1179 T J Jackson Dr Ste B
Falling Waters, WV 25419-4698

Other practice locations

  • 1179 T J Jackson Dr Ste B, Falling Waters, WV 25419-4698 · (304) 278-4433

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X34106 (MD)
Clinical Social Worker Primary 1041C0700XDP00945849 (WV)
Clinical Social Worker 1041C0700X0904017827 (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 1952056459

Theannah Remi Louise Phillips, LICSW's National Provider Identifier is 1952056459, issued on Feb 14, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Leesburg, VA. The record was last updated on Jan 27, 2026.