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MR. MICHAEL A SUPPA LCSW
NPI 1114937943
Social Worker - Clinical in Fairfax, VA

Active since August 08, 2006PECOS Enrolled
12011 GOVERNMENT CENTER PKWY, FAIRFAX, VA 22035(703) 324-7000 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael A Suppa Lcsw NPPES

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

MR. MICHAEL A SUPPA LCSW (NPI 1114937943) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904003713) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114937943
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL A SUPPACredential: LCSW
Location Address12011 GOVERNMENT CENTER PKWYFairfax, VA 22035-1100
Mailing Address12011 Government Center PkwyFairfax, VA 22035-1100
Phone(703) 324-7000
Sole ProprietorYes
Enumeration DateAugust 8, 2006
Last NPPES UpdateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1114937943 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 · 0904003713
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.
12011 GOVERNMENT CENTER PKWY, Fairfax, VA 22035
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael A Suppa Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

FAIRFAX COUNTY, VIRGINIA
Clinic/Center (Multi-Specialty)
12011 GOVERNMENT CENTER PKWY, SUITE 836
FAIRFAX, VA 22035
Fairfax County (703) 324-7000
BRITTANY TOKASH
Counselor (Mental Health)
12011 GOVERNMENT CENTER PKWY
FAIRFAX, VA 22035
Fairfax County (703) 324-7500
MS. PATRICIA ANNE EVANS LPC
Counselor (Professional)
12011 GOVERNMENT CENTER PKWY, SUITE 300
FAIRFAX, VA 22035
Fairfax County (703) 324-4470
THOMAS HITTINGER LCSE
Social Worker (Clinical)
12011 GOVERNMENT CENTER PKWY
FAIRFAX, VA 22035
Fairfax County (703) 324-8202
KELLY HARPER LARKIN
Counselor (Professional)
12011 GOVERNMENT CENTER PKWY
FAIRFAX, VA 22035
Fairfax County (703) 559-3000
MS. CATHY PODGORSKI PUMPHREY LPC
Counselor (Professional)
12011 GOVERNMENT CENTER PKWY, SUITE 836
FAIRFAX, VA 22035
Fairfax County (703) 324-7017
DR. JOHN F. DEFEE LCP
Psychologist (Clinical)
12011 GOVERNMENT CENTER PKWY
FAIRFAX, VA 22035
Fairfax County (703) 324-7093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Suppa's NPI number?

The NPI number for Michael Suppa is 1114937943. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Michael Suppa located?

Michael Suppa practices at 12011 Government Center Pkwy, Fairfax, VA 22035. The listed phone number is (703) 324-7000.

What is Michael Suppa's specialty?

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

Is Michael Suppa enrolled in Medicare?

Yes. Michael Suppa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Suppa was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.