LIFESPAN COUNSELING SERVICES, LLC
NPI 1407173248
Social Worker - Clinical in Fairfax, VA

Q: What is Lifespan Counseling Services, LLC's NPI number?

The NPI number for Lifespan Counseling Services, LLC is 1407173248. It was assigned to this organization in the NPPES registry on May 3, 2010.

Q: What is Lifespan Counseling Services, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 03, 2010

8500 EXECUTIVE PARK AVE STE 204, FAIRFAX, VA 22031(703) 876-8480 Get Directions Write a Review

NPPES record last updated: April 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Lifespan Counseling Services, Llc NPPES

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

LIFESPAN COUNSELING SERVICES, LLC (NPI 1407173248) is a healthcare organization registered as a clinical in Fairfax, Virginia and active in the NPI registry since May 2010. The organization lists Danielle C Nicholson, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1407173248

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameLIFESPAN COUNSELING SERVICES, LLC

Location Address8500 EXECUTIVE PARK AVE STE 204Fairfax, VA 22031-2253

Mailing Address5104 Coleridge DrFairfax, VA 22032-2420 · (703) 965-8712

Phone(703) 876-8480

Organization SubpartNo

Authorized OfficialDanielle C NicholsonSocial Worker · (703) 490-9681

Enumeration DateMay 3, 2010

Last NPPES UpdateApril 29, 2015

✔ NPI 1407173248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in VA · 0904006801

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

8500 EXECUTIVE PARK AVE STE 204, Fairfax, VA 22031

Open in Google Maps ↗

Other Identifiers 1

Other12093630VA · Caqh

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

ALLIE FARRIS ED.S.

Psychologist (School)