Byra Ciccolo, MSW
Social Worker, Clinical in Midlothian, VA. Individual provider (NPI-1).
NPI number1447985296
StatusActive
Last updated in NPPESSep 16, 2025
Details
- NPI
- 1447985296
- Entity type
- Individual (NPI-1)
- Name
- Byra Ciccolo
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2022
- Certification date
- Sep 16, 2025
- Last updated
- Sep 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
5712 Oak Knoll RdMidlothian, VA 23112-2400
Phone 804-608-9704 · Fax 855-700-5573
Mailing address
5712 Oak Knoll RdMidlothian, VA 23112-2400
Phone 804-608-9704 · Fax 855-700-5573
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