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

Terry Absalom

Individual provider Mental Health Counselor · NPI 1720776388

Terry Absalom is a Clinical Social Worker in Leesburg, Virginia. Qualified in 2021, 5 years ago. Practices as a sole proprietor.

Years since qualifying
5
In the registry since
2023
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Practice location Address checks out

102 Heritage Way NE Ste 102
Leesburg, VA 20176-4544
Phone: (703) 777-0320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1720776388
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023
Mailing address102 Heritage Way Ne Ste 102, Leesburg, VA 20176-4544

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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