SHASTA LASHAY DOUGLAS MSW
NPI 1265309611
Social Worker in Fairfax, VA

Active since October 21, 2025
10300 EATON PL STE 440, FAIRFAX, VA 22030(256) 717-4095 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shasta Lashay Douglas Msw NPPES

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

SHASTA LASHAY DOUGLAS MSW (NPI 1265309611) is an individual social worker in Fairfax, Virginia and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1265309611
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHASTA LASHAY DOUGLASCredential: MSW
Location Address10300 EATON PL STE 440Fairfax, VA 22030-2239
Mailing Address10904 Harpers Square CtReston, VA 20191-5011 · (256) 717-4095
Sole ProprietorYes
Enumeration DateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
NPI 1265309611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

10300 EATON PL STE 440, Fairfax, VA 22030

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
10300 EATON PL STE 440
FAIRFAX, VA 22030
Social Worker (Clinical)
10300 EATON PL STE 440
FAIRFAX, VA 22030
Social Worker (Clinical)
10300 EATON PL STE 440
FAIRFAX, VA 22030
Counselor (Mental Health)
10300 EATON PL STE 440
FAIRFAX, VA 22030
Student in an Organized Health Care Education/Training Program
10300 EATON PL STE 440
FAIRFAX, VA 22030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265309611, enumerated as an "individual" on October 21, 2025.

The provider is located at 10300 EATON PL STE 440 FAIRFAX, VA 22030 and the phone number is (256) 717-4095.

Social Worker with taxonomy code 104100000X.