MINOO PAKDAMAN
NPI 1356972368
Social Worker - Clinical in Fairfax, VA
About Minoo Pakdaman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINOO PAKDAMAN (NPI 1356972368) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904011214) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Minoo Pakdaman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Minoo Pakdaman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia enrollment
- 2,492 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Minoo Pakdaman's NPI number?
The NPI number for Minoo Pakdaman is 1356972368. It was assigned to this individual provider in the NPPES registry on January 29, 2020. The provider is also known as Minoo Taheri Lcsw.
Where is Minoo Pakdaman located?
Minoo Pakdaman practices at 4290 Birney Ln, Fairfax, VA 22033. The listed phone number is (703) 310-9333.
What is Minoo Pakdaman's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Minoo Pakdaman enrolled in Medicare?
Yes. Minoo Pakdaman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Minoo Pakdaman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Minoo Pakdaman reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Fairfax, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Minoo Pakdaman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Minoo Pakdaman was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Minoo Pakdaman · NPI 1356972368
Clinical provider in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since January 29, 2020.
## Identity
- **NPI:** 1356972368 (Entity type: Individual)
- **Enumerated:** January 29, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 0904011214 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4290 BIRNEY LN, Fairfax, VA 22033-4333
- **Phone:** (703) 310-9333
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1215058326, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** January 29, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1356972368) · Data from the CMS NPPES public registry.