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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: August 16, 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
Phone(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
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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.

JENNIFER M DENK LCSW
Social Worker (Clinical)
10300 EATON PL STE 440
FAIRFAX, VA 22030
Fairfax City (571) 236-9093
MELISSA ZISSMAN GOLUB LCSW
Social Worker
10300 EATON PL STE 440
FAIRFAX, VA 22030
Fairfax City (703) 375-9871
CHRISTY HYNES
Student in an Organized Health Care Education/Training Program
10300 EATON PL STE 440
FAIRFAX, VA 22030
Fairfax City (757) 269-9084
IQGENETIX LLC
Clinical Medical Laboratory
10300 EATON PL STE 440
FAIRFAX, VA 22030
Fairfax City (866) 921-2415
CAREWELL COUNSELING SERVICES
Social Worker (Clinical)
10300 EATON PL STE 440
FAIRFAX, VA 22030
Fairfax City (571) 236-9093
TIFFANY PARKES MOSCOVA
Social Worker (Clinical)
10300 EATON PL STE 440
FAIRFAX, VA 22030
Fairfax City (571) 377-8218
MZG COUNSELING, LLC
Counselor (Mental Health)
10300 EATON PL STE 440
FAIRFAX, VA 22030
Fairfax City (703) 375-9871

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 Shasta Douglas's NPI number?

The NPI number for Shasta Douglas is 1265309611. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Where is Shasta Douglas located?

Shasta Douglas practices at 10300 Eaton Pl Ste 440, Fairfax, VA 22030. The listed phone number is (256) 717-4095.

What is Shasta Douglas's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Shasta Douglas was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.