MR. CASIMER RICHARD WICHLACZ MSW 1487646204

Name: MR. CASIMER RICHARD WICHLACZ MSW Specialty: Clinical Social Worker Type of Practice: Individual provider Provider/Org: Medical School: Graduation year from medical school: Affiliation:

Practice Type: Behavioral Health & Social Service Providers Classification: Social Worker Specialization: Clinical. Definition of Specialty: 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.

License #(s): 0904005923, , , , License State(s): VA, , , ,

Practice Location: 9810 BRIGHTLEA DR,VIENNA,VA,221816003,US Mailing Address: 9810 BRIGHTLEA DR,VIENNA,VA,221816003,US

Practice location phone #: 7032815337 Practice location fax #: Mailing address Phone #: 7032815337 Mailing Address fax #: Authorized official Name/Telephone #:

Date NPI was obtained: 08/18/2005 Last data data was updated: 12/01/2011 Insurances: