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DR. FATIMA MIRZA PHD, LCSW
NPI 1457700452
Social Worker - Clinical in Fairfax, VA

Active since June 09, 2016PECOS Enrolled
10723 MAIN ST, FAIRFAX, VA 22030(703) 903-9696 Get Directions Write a Review

NPPES record last updated: December 25, 2022. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Dr. Fatima Mirza Phd, Lcsw NPPES

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

DR. FATIMA MIRZA PHD, LCSW (NPI 1457700452) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904013203) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mc Lean.

NPPES Registry Identity

NPI1457700452
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. FATIMA MIRZACredential: PHD, LCSW
Location Address10723 MAIN STFairfax, VA 22030-6905
Mailing AddressPo Box QqMclean, VA 22101 · (703) 903-9696
Phone(703) 903-9696
Sole ProprietorNo
Enumeration DateJune 9, 2016
Last NPPES UpdateDecember 25, 2022
NPPES CertifiedAugust 19, 2021
✔ NPI 1457700452 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 · 0904013203
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.
10723 MAIN ST, Fairfax, VA 22030
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Secondary Practice Location 1

Location 11716 Chain Bridge RdMc Lean, VA 22101-4322 · Phone (703) 903-9696 ext. 209

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fatima Mirza Phd, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. RANDALL LEAVITT PRIOR D.MIN
Counselor (Pastoral)
10723 MAIN ST, FAIRFAX PRESBYTERIAN CHURCH
FAIRFAX, VA 22030
Fairfax City (703) 270-5300
AEDA ASSOCIATES, LLC
Counselor (Addiction (Substance Use Disorder))
10723 MAIN ST
FAIRFAX, VA 22030
Fairfax City (703) 615-7475
MS. LAURANNE KAY PAGE LPC
Counselor (Mental Health)
10723 MAIN ST
FAIRFAX, VA 22030
Fairfax City (703) 903-9696

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 Fatima Mirza's NPI number?

The NPI number for Fatima Mirza is 1457700452. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Fatima Mirza located?

Fatima Mirza practices at 10723 Main St, Fairfax, VA 22030. The listed phone number is (703) 903-9696.

What is Fatima Mirza's specialty?

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

Is Fatima Mirza enrolled in Medicare?

Yes. Fatima Mirza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fatima Mirza was last updated on December 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.