Individual provider · Type 1 NPI

Jennifer Lynn Douglas, LICSW

Clinical Social Worker · Woodbridge, VA

NPI number 1992050470 Active

Practice location

2501 Hunter Pl Ste 201
Woodbridge, VA 22192-3940

Mailing address

10391 Greyson Ln
Rixeyville, VA 22737-1730

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC50078156 (DC)

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 1992050470

Jennifer Lynn Douglas, LICSW's National Provider Identifier is 1992050470, issued on Jul 19, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodbridge, VA. The record was last updated on Feb 6, 2013.