NPI 1043606312

Kelly Terry, LCSW

Practitioner Clinical Social Worker Manassas, VA

Practice location

Address: 10535 Crestwood Dr Suite 201, Manassas, VA 20109-4416
Phone: (703) 492-2686

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 0904009668 (VA)

Other Social Worker providers in Virginia →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Registry record

NPI: 1043606312
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2015
Record last updated: 17 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.