Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jackie L Stout, LCSW

Individual provider Clinical Social Worker · NPI 1518280536

Jackie L Stout, LCSW is a Clinical Social Worker in Vienna, Virginia. Licensed in Virginia. Registered with an NPI since 2010.

Licensed in
VA
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

410 Maple Ave W Ste 7
Vienna, VA 22180-4224
Phone: (703) 342-4671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904007252 (VA)

Record details

NPI number1518280536
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 4, 2010
Last updated in NPPESMarch 4, 2010

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