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CASEY KWAK NP
NPI 1134830425
Nurse Practitioner - Psychiatric/Mental Health in Fairfax, VA

Active since December 08, 2022
3554 CHAIN BRIDGE RD STE 200, FAIRFAX, VA 22030(703) 896-7628 Get Directions Write a Review

NPPES record last updated: December 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2024, Apr 14, 2023, Dec 8, 2022 (3 updates tracked since 2022).

About Casey Kwak Np NPPES

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

CASEY KWAK NP (NPI 1134830425) is an individual psychiatric/mental health provider in Fairfax, Virginia, licensed in Virginia (0024185947) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1134830425
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCASEY KWAKCredential: NP
Location Address3554 CHAIN BRIDGE RD STE 200Fairfax, VA 22030-2709
Mailing Address3554 Chain Bridge Rd Ste 200Fairfax, VA 22030-2709
Phone(703) 896-7628
Sole ProprietorYes
Enumeration DateDecember 8, 2022
Last NPPES UpdateDecember 29, 20243 updates tracked since enumeration
NPPES CertifiedDecember 29, 2024
✔ NPI 1134830425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024185947
3554 CHAIN BRIDGE RD STE 200, Fairfax, VA 22030
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Other Providers at the Same Location NPPES 16

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

AMANDA CARLSON
Social Worker (Clinical)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
KENDYL DURHAM PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
DR. BRITTANY MUSAFFI PSYD
Psychologist (Clinical)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
ELIZABETH YEONAS
Counselor (Mental Health)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
MORGAN ROSE GOCKE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
DR. RACHEL BAINES PSYD
Psychologist (Clinical)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
DR. MELISSA TENNYSON
Psychologist (Clinical)
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 593-2182
DR. ANEESHA PERKINS PSY.D, LPC
Psychologist
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030
Fairfax City (703) 896-7628

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 Casey Kwak's NPI number?

The NPI number for Casey Kwak is 1134830425. It was assigned to this individual provider in the NPPES registry on December 8, 2022.

Where is Casey Kwak located?

Casey Kwak practices at 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030. The listed phone number is (703) 896-7628.

What is Casey Kwak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Casey Kwak was last updated on December 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.