Active NPIIndividual provider

Ms. Jillian A Theryon, LICSW, LCSW

Social Worker, Clinical in Arlington, Virginia

NPI Number1982192480
Practice location
1235 S Clark St, Arlington, VA 22202-3296
Fax
—
Last updated
December 12, 2022

Jillian Antoinette Theryon is a Social Worker, Clinical based in Arlington, VA. Jillian Antoinette Theryon practices in Arlington, VA and has the professional credentials of LICSW, LCSW. The NPI Number for Jillian Antoinette Theryon is 1982192480 and holds a License No. 0904012312 (VA). The current practice location address for Jillian Antoinette Theryon is 1235 S Clark St, Arlington, VA 22202-3296 and can be reached out via phone at 202-655-7138.

Provider Profile Details

NPI Number
1982192480
Provider Name
Jillian Antoinette Theryon
Credential
LICSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
1235 S Clark St, Arlington, VA 22202-3296
Phone Number
202-655-7138
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 30, 2018
Last Update Date
December 12, 2022
Certification Date
December 4, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1235 S Clark St
Arlington, VA 22202-3296
Zip
22202-3296
Phone Number
202-655-7138
Arlington, VA 22202Get directions →

Provider Business Mailing Address Details

Address
1235 S Clark St
Arlington, VA 22202-3296
City
Arlington
State
VA
Zip
22202-3296
Phone Number
860-597-6037

License Information

License Number (1)
0904012312
License State (1)
VA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
LC50082256
License State (2)
DC
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
CSW.09927663
License State (3)
CO
Taxonomy (3)
Social Worker, Clinical · 1041C0700X
License Number (4)
CW022658
License State (4)
PA
Taxonomy (4)
Social Worker, Clinical · 1041C0700X
License Number (5)
149.024437
License State (5)
IL
Taxonomy (5)
Social Worker, Clinical · 1041C0700X
License Number (6)
010192
License State (6)
CT
Taxonomy (6)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jillian A Theryon, LICSW, LCSW?

The NPI number of Ms. Jillian A Theryon, LICSW, LCSW is 1982192480. It was assigned on April 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Ms. Jillian A Theryon, LICSW, LCSW?

Ms. Jillian A Theryon, LICSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VA under license number 0904012312.

Where does Ms. Jillian A Theryon, LICSW, LCSW practice?

The practice location is 1235 S Clark St, Arlington, VA 22202-3296. The office can be reached at 202-655-7138 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982192480 directly on the NPPES registry website.

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