MARY LOU FAHEY LCSW
NPI 1063537595
Social Worker - Clinical in Manassas, VA

Q: What is Mary Fahey's NPI number?

The NPI number for Mary Fahey is 1063537595. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Q: What is Mary Fahey's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Fahey was last updated on January 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 21, 2007

7969 ASHTON AVE, MANASSAS, VA 20109(703) 792-7800(703) 792-5699 Get Directions Write a Review

NPPES record last updated: January 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Lou Fahey Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LOU FAHEY LCSW (NPI 1063537595) is an individual clinical provider in Manassas, Virginia, licensed in Virginia (0904004560) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1063537595

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY LOU FAHEYCredential: LCSW

Location Address7969 ASHTON AVEManassas, VA 20109-2885

Mailing Address7969 Ashton AveManassas, VA 20109-2885 · (703) 792-7800 · Fax (703) 792-5699

Phone(703) 792-7800

Fax(703) 792-5699

Sole ProprietorYes

Enumeration DateMarch 21, 2007

Last NPPES UpdateJanuary 17, 2008

✔ NPI 1063537595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in VA · 0904004560

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

7969 ASHTON AVE, Manassas, VA 20109

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Other Identifiers 4

Medicaid4945247VA

Medicare PINC02810VA

Other245421VA · Blue Cross Blue Shield

Other292737VA · Amerigroup

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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