OCCOQUAN COUNSELING, LLC
NPI 1780834911
Social Worker - Clinical in Woodbridge, VA

Active since September 24, 2008
12866 HARBOR DR, WOODBRIDGE, VA 22192(703) 494-4164(703) 563-9304 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Occoquan Counseling, Llc NPPES

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

OCCOQUAN COUNSELING, LLC (NPI 1780834911) is a healthcare organization registered as a clinical in Woodbridge, Virginia and active in the NPI registry since September 2008. The organization lists Kelly Facciola, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1780834911
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameOCCOQUAN COUNSELING, LLC
Location Address12866 HARBOR DRWoodbridge, VA 22192-2921
Mailing Address12866 Harbor DrWoodbridge, VA 22192-2921 · (703) 203-7535 · Fax (703) 563-9304
Fax(703) 563-9304
Organization SubpartNo
Authorized OfficialKelly FacciolaMember/manager · (703) 203-7535
Enumeration DateSeptember 24, 2008
Last NPPES UpdateApril 27, 2018
NPI 1780834911 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 · 0904005064
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.

12866 HARBOR DR, Woodbridge, VA 22192

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Counselor (Addiction (Substance Use Disorder))
12866 HARBOR DR
LAKE RIDGE, VA 22192
Psychologist (Clinical)
12866 HARBOR DR
WOODBRIDGE, VA 22192
Social Worker (Clinical)
12866 HARBOR DR
WOODBRIDGE, VA 22192
Social Worker
12866 HARBOR DR
WOODBRIDGE, VA 22192
Social Worker (Clinical)
12866 HARBOR DR
WOODBRIDGE, VA 22192
Counselor (Mental Health)
12866 HARBOR DR
WOODBRIDGE, VA 22192
Counselor (Professional)
12866 HARBOR DR
WOODBRIDGE, VA 22192

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780834911, enumerated as an "organization" on September 24, 2008.

The provider is located at 12866 HARBOR DR WOODBRIDGE, VA 22192 and the phone number is (703) 494-4164.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.