Individual provider · Type 1 NPI

Fatima Mirza, PhD, LCSW

Clinical Social Worker · Fairfax, VA

NPI number 1457700452 Active

Practice location

10723 Main St
Fairfax, VA 22030-6905

Mailing address

PO Box Qq
Mclean, VA 22101

Other practice locations

  • 1716 Chain Bridge Rd, Mc Lean, VA 22101-4322 · (703) 903-9696

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904013203 (VA)

Clinical Social Worker: 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 interpers…

3 other providers at this address

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About NPI 1457700452

Fatima Mirza, PhD, LCSW's National Provider Identifier is 1457700452, issued on Jun 9, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Dec 25, 2022.