Individual
KATHRYN NIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
13655 DULLES TECHNOLOGY DR STE 120, HERNDON, VA 20171-4634
(703) 627-2426
Mailing address
4054 LAAR CT, FAIRFAX, VA 22033-3252
(703) 627-2426
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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