Mentevo Llc

Clinical Social Worker · Triangle, VA

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At a glance

18313 Candice Dr, Triangle, VA 22172-1413

NPPES record updated Nov 3, 2025. Public records can lag behind changes at a practice.

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Practice location

18313 Candice Dr
Triangle, VA 22172-1413

Additional reported practice locations

12910 Harbor Dr
Woodbridge, VA 221922930
Phone: 7202899116

Professional details: NPI, taxonomy & registry record

NPI1124997549

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Registry details

Primary taxonomy: Clinical Social Worker
Taxonomy code: 1041C0700X
Enumeration date: Nov 3, 2025
Record updated: Nov 3, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Mental Health Counselor

101YM0800X

Specialty details in registry

103TE1100X

Specialty details in registry

104100000X

Clinical Social Worker

1041C0700X · Primary

Specialty details in registry

171400000X

Specialty details in registry

363LP0808X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

18313 Candice Dr
Triangle, VA 22172-1413

Phone: (720) 289-9116

Mailing address

18313 CANDICE DR

TRIANGLE, VA 221721413

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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