Individual provider · Type 1 NPI

Samantha Mazzan, QMHP; MSW SUPERVISEE

Clinical Social Worker · Springfield, VA

NPI number 1487589016 Active

Practice location

6563 Edsall Rd
Springfield, VA 22151-4414

Call (703) 354-0000 Map

Fax (703) 354-1129

Mailing address

19084 Youngs Cliff Rd
Sterling, VA 20165-2568

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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…

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About NPI 1487589016

Samantha Mazzan, QMHP; MSW SUPERVISEE's National Provider Identifier is 1487589016, issued on Jun 15, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, VA. The record was last updated on Jun 15, 2026.