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Convergence Mental Performance And Preparation Lab
Clinical Social Worker in Fairfax, Virginia
NPI 1346015815

Convergence Mental Performance And Preparation Lab is a Clinical Social Worker based in Woodbridge, VA and is specialized in Clinical. Convergence Mental Performance And Preparation Lab practices in Fairfax, VA. The NPI Number for Convergence Mental Performance And Preparation Lab is 1346015815 and holds a License No. (Virginia).

The current practice location address for Convergence Mental Performance And Preparation Lab is 4000 Legato Rd Ste 1100, Fairfax, VA and can be reached out via phone at 571-336-2272. You can also correspond with Convergence Mental Performance And Preparation Lab through the mailing address at 15000 POTOMAC TOWN PL STE 100-151, WOODBRIDGE, VA - 22191-6586 (mailing address contact number: 571-336-2272).

Location: 4000 Legato Rd Ste 1100, Fairfax, VA, 22191-6586
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346015815
Provider Name
Convergence Mental Performance And Preparation Lab
Credential
Provider Entity Type
Organization
Address
4000 Legato Rd Ste 1100, Fairfax, VA, 22191-6586
Phone Number
571-336-2272
Fax Number
Provider Enumeration Date
11/15/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4000 Legato Rd Ste 1100
City
Fairfax
State
Virginia
Zip
22033-2893
Phone Number
571-336-2272
Fax Number
person
Provider Business Mailing Address Details
Address
4000 Legato Rd Ste 1100
City
Fairfax
State
Virginia
Zip
22033-2893
Phone Number
571-336-2272
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Exercise & Sports
Taxonomy
103TE1100X
License No.
()
Definition
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. Sport Psychology interventions are designed to assist athletes and other sports participants (e.g., coaches, administrators, parents) from a wide array of settings, levels of competition, and ages, ranging from recreational youth participants to professional and Olympic athletes to master's level performers.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
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.
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