TISA MCKENNA PINKERTON LCSW
NPI 1497185805
Social Worker - Clinical in Fairfax, VA

Active since November 21, 2013
11204 WAPLES MILL RD, FAIRFAX, VA 22030(703) 218-8500 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 30, 2019, Mar 17, 2018 (2 updates tracked since 2018).

About Tisa Mckenna Pinkerton Lcsw NPPES

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

TISA MCKENNA PINKERTON LCSW (NPI 1497185805) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904009000) and active in the NPI registry since November 2013. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1497185805
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTISA MCKENNA PINKERTONCredential: LCSW
Location Address11204 WAPLES MILL RDFairfax, VA 22030
Mailing Address11204 Waples Mill RdFairfax, VA 22030-6036 · (703) 218-8500
Sole ProprietorYes
Enumeration DateNovember 21, 2013
Last NPPES UpdateJune 30, 20222 updates tracked since enumeration
NPPES CertifiedJune 30, 2022
NPI 1497185805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in VA · 0904009000 Licensed in DC · LC50079120
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.

11204 WAPLES MILL RD, Fairfax, VA 22030

Secondary Practice Locations 3

Location 114540 John Marshall HwyGainesville, VA 20155-1691 · Phone (703) 798-0442
Location 2621 W Main StPurcellville, VA 20132-3012 · Phone (571) 477-1557
Location 344679 Endicott Dr Ste 412Ashburn, VA 20147-5567 · Phone (703) 957-8761

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Social Worker (Clinical)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Marriage & Family Therapist
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Counselor (Professional)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Counselor
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Psychologist (Clinical)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Counselor (Professional)
11204 WAPLES MILL RD
FAIRFAX, VA 22030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497185805, enumerated as an "individual" on November 21, 2013.

The provider is located at 11204 WAPLES MILL RD FAIRFAX, VA 22030 and the phone number is (703) 218-8500.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.