Individual provider · Type 1 NPI

Lauren Krause Nickum

Clinical Social Worker · Fairfax, VA

NPI number 1992342984 Active

Practice location

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512

Call (703) 352-3431 Map

Fax (703) 653-9499

Other practice locations

  • 501 Church St NE, Vienna, VA 22180-4760 · (571) 421-1127

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0710102786 (VA)
Clinical Social Worker Primary 1041C0700X0904011367 (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 1992342984

Lauren Krause Nickum's National Provider Identifier is 1992342984, issued on Dec 9, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Feb 25, 2022.