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FAIRFAX FALLS CHURCH COMMUNITY SERVICES BOARD - DD SERVICES
NPI 1174558266
Clinic/Center - Multi-Specialty in Fairfax, VA

Active since July 11, 2006CLIA 49D2205786 · Waiver
12011 GOVERNMENT CENTER PKWY, SUITE 836, FAIRFAX, VA 22035(703) 324-7000(703) 324-7092 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairfax Falls Church Community Services Board - Dd Services NPPES

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

FAIRFAX FALLS CHURCH COMMUNITY SERVICES BOARD - DD SERVICES (NPI 1174558266) is a healthcare organization registered as a multi-specialty in Fairfax, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Daryl Washington, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1174558266
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFAIRFAX COUNTY, VIRGINIA
Location Address12011 GOVERNMENT CENTER PKWY, SUITE 836Fairfax, VA 22035-1100
Mailing Address12000 Government Center Pkwy, Suite 552Fairfax, VA 22035-0001 · (703) 324-3360 · Fax (703) 324-4573
Phone(703) 324-7000
Fax(703) 324-7092
Organization SubpartNo
Authorized OfficialDaryl WashingtonExecutive Director · (703) 324-7000
Enumeration DateJuly 11, 2006
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1174558266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in VA · 113
12011 GOVERNMENT CENTER PKWY, Fairfax, VA 22035
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Other Names 1

Doing Business AsFairfax Falls Church Community Services Board - Dd Services

Other Identifiers 1

Medicaid004945620VA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2205786

Fairfax-Falls Church Community Services Board · Fairfax, VA
Active · expires Dec 15, 2026
CLIA Number49D2205786
Laboratory TypeCsb
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorColton J. Hand
Laboratory Phone(571) 264-4379
Laboratory LocationFairfax-Falls Church Community Services Board12011 Goverment Center Parkway Suite 836, Fairfax, VA 22035
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

MR. MICHAEL A SUPPA LCSW
Social Worker (Clinical)
12011 GOVERNMENT CENTER PKWY
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 Fairfax County, Virginia's NPI number?

The NPI number for Fairfax County, Virginia is 1174558266. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider is doing business as Fairfax Falls Church Community Services Board - Dd Services.

Where is Fairfax County, Virginia located?

Fairfax County, Virginia is located at 12011 Government Center Pkwy Suite 836, Fairfax, VA 22035. The listed phone number is (703) 324-7000.

What is Fairfax County, Virginia's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Fairfax County, Virginia hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2205786) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fairfax County, Virginia was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.