Individual
MICHELLE WENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CTRP-C
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(571) 423-4300
Mailing address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904011055
VA
1041S0200X
School Social Worker
Primary
PPS-0604749
VA
Other
Enumeration date
03/13/2018
Last updated
10/06/2025
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