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MS. JILLIAN ANTOINETTE THERYON LICSW LCSW NPI 1982192480


NPI Information

NPI: 1982192480
Provider Name: MS. JILLIAN ANTOINETTE THERYON, LICSW, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
1235 S CLARK ST
ARLINGTON, VA
ZIP 22202
Phone: (202) 655-7138
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MS. Jillian Antoinette Theryon, LICSW, LCSW is a clinical social worker in Arlington, VA with 11 years of experience. The provider is 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. MS. Jillian Antoinette Theryon, LICSW, LCSW NPI is 1982192480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1235 S CLARK ST
ARLINGTON, VA
ZIP 22202-296
Phone: (202) 655-7138

The NPI 1982192480 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/30/2018 and was last updated on 12/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical0904012312VIRGINIANo
21041C0700XSocial WorkerClinicalLC50082256DISTRICT OF COLUMBIANo
31041C0700XSocial WorkerClinicalCSW.09927663COLORADONo
41041C0700XSocial WorkerClinicalCW022658PENNSYLVANIANo
51041C0700XSocial WorkerClinical149.024437ILLINOISNo
61041C0700XSocial WorkerClinical010192CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.