1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Social Worker
  6. NPI Profile

MARY TAVERNER LCSW
NPI 1659046803
Social Worker - Clinical in Fairfax, VA

Active since August 10, 2021
3611 CHAIN BRIDGE RD STE C, FAIRFAX, VA 22030(703) 397-8163 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Taverner Lcsw NPPES

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

MARY TAVERNER LCSW (NPI 1659046803) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904010991) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1659046803
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY TAVERNERCredential: LCSW
Location Address3611 CHAIN BRIDGE RD STE CFairfax, VA 22030-3246
Mailing Address1105 S Edgewood St # 2Arlington, VA 22204-4815 · (661) 435-3429
Phone(703) 397-8163
Sole ProprietorYes
Enumeration DateAugust 10, 2021
NPPES CertifiedAugust 10, 2021
✔ NPI 1659046803 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 · 0904010991✔ Licensed in DC · LC50081378
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.
3611 CHAIN BRIDGE RD STE C, Fairfax, VA 22030
Open in Google Maps ↗

Other Providers at the Same Location NPPES 19

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

MARIA PAIGE FRASSO MS, LMFT
Marriage & Family Therapist
3611 CHAIN BRIDGE RD STE C
FAIRFAX, VA 22030
Fairfax City (703) 380-9045
ANGELA MARIE BENITEZ
Counselor (Mental Health)
3611 CHAIN BRIDGE RD STE C
FAIRFAX, VA 22030
Fairfax City (703) 380-9045
ETHAN KASTE LPC, RPT
Counselor (Mental Health)
3611 CHAIN BRIDGE RD STE C
FAIRFAX, VA 22030
Fairfax City (703) 380-9045
JESSICA ARIELLE COMFORT LCSW
Social Worker (Clinical)
3611 CHAIN BRIDGE RD STE C
FAIRFAX, VA 22030
Fairfax City (703) 380-9045
MARIAM ABDELWAHAB
Counselor (Mental Health)
3611 CHAIN BRIDGE RD STE C
FAIRFAX, VA 22030
Fairfax City (703) 397-8163
SAMANTHA RENNER
Marriage & Family Therapist
3611 CHAIN BRIDGE RD STE C
FAIRFAX, VA 22030
Fairfax City (757) 525-2715
KAREN HAHN STRIDER MSW
Social Worker
3611 CHAIN BRIDGE RD STE C
FAIRFAX, VA 22030
Fairfax City (703) 380-9045
MRS. DENISE MARCONE
Social Worker (School)
3611 CHAIN BRIDGE RD STE C
FAIRFAX, VA 22030
Fairfax City (703) 380-9045

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 Mary Taverner's NPI number?

The NPI number for Mary Taverner is 1659046803. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Where is Mary Taverner located?

Mary Taverner practices at 3611 Chain Bridge Rd Ste C, Fairfax, VA 22030. The listed phone number is (703) 397-8163.

What is Mary Taverner's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Taverner was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.