Jillian Antoinette Theryon, LICSW, LCSW
Social Worker, Clinical in Arlington, VA. Individual provider (NPI-1).
NPI number1982192480
StatusActive
Last updated in NPPESDec 12, 2022
Details
- NPI
- 1982192480
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jillian Antoinette Theryon
- Credential
- LICSW, LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2018
- Certification date
- Dec 4, 2022
- Last updated
- Dec 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 010192 | CT | Yes |
| 1041C0700X | Social Worker, Clinical | 0904012312 | VA | |
| 1041C0700X | Social Worker, Clinical | LC50082256 | DC | |
| 1041C0700X | Social Worker, Clinical | CSW.09927663 | CO | |
| 1041C0700X | Social Worker, Clinical | CW022658 | PA | |
| 1041C0700X | Social Worker, Clinical | 149.024437 | IL |
Practice location
1235 S Clark StArlington, VA 22202-3296
Phone 202-655-7138
Mailing address
1235 S Clark StArlington, VA 22202-3296
Phone 860-597-6037
Other practice locations
501 W Purchase Rd Apt 1
Southbury, CT 06488-1003
Southbury, CT 06488-1003
Phone 186-059-7603
7182 Main St
Trumbull, CT 06611-1314
Trumbull, CT 06611-1314
Phone 860-597-6037
4252 Airline Pkwy
Chantilly, VA 20151-3968
Chantilly, VA 20151-3968
Phone 860-597-6037
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All 229 Clinical Social Worker providers in Arlington · All 4,528 providers in Arlington
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