MRS. MARY B YRD JEANES LCSW
NPI 1316168750
Social Worker - Clinical in Woodbridge, VA

Active since May 02, 2007
12761 DARBY BROOK CT, SUITE 101, WOODBRIDGE, VA 22192(703) 490-5090(703) 490-1809 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Mary B Yrd Jeanes Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY B YRD JEANES LCSW (NPI 1316168750) is an individual clinical provider in Woodbridge, Virginia, licensed in Virginia (0904006536) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1316168750
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MARY B YRD JEANESCredential: LCSW
Location Address12761 DARBY BROOK CT, SUITE 101Woodbridge, VA 22192-2405
Mailing Address4455 Brookfield Corporate Dr, Suite 201Chantilly, VA 20151-1670 · (703) 490-5090 · Fax (703) 490-1809
Fax(703) 490-1809
Sole ProprietorYes
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1316168750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0904006536
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12761 DARBY BROOK CT, Woodbridge, VA 22192

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
12761 DARBY BROOK CT, STE 101
WOODBRIDGE, VA 22192
Community/Behavioral Health
12761 DARBY BROOK CT, SUITE 101
WOODBRIDGE, VA 22192
Internal Medicine
12761 DARBY BROOK CT
WOODBRIDGE, VA 22192

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jeanes's NPI number?

The NPI number for Mary Jeanes is 1316168750. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Mary Jeanes located?

Mary Jeanes practices at 12761 Darby Brook Ct Suite 101, Woodbridge, VA 22192. The listed phone number is (703) 490-5090.

What is Mary Jeanes's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mary Jeanes was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.