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LEILA KANDAHARI LCSW
NPI 1720548738
Social Worker - Clinical in Fairfax, VA

Active since March 25, 2019PECOS Enrolled
10520 JUDICIAL DR, FAIRFAX, VA 22030(703) 246-2100 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, Nov 21, 2024, May 28, 2019 (3 updates tracked since 2019).

About Leila Kandahari Lcsw NPPES

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

LEILA KANDAHARI LCSW (NPI 1720548738) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904014402) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720548738
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLEILA KANDAHARICredential: LCSW
Location Address10520 JUDICIAL DRFairfax, VA 22030-5115
Mailing Address10520 Judicial DrFairfax, VA 22030-5115
Phone(703) 246-2100
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1720548738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in VA · 0904014402✔ Licensed in MD · 30770
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0710103335
10520 JUDICIAL DR, Fairfax, VA 22030
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leila Kandahari Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658725460
PECOS Enrollment IDI20230927004369, I20250624003318
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 18

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

CHARLOTTE HOLZEMER
Social Worker (Clinical)
10520 JUDICIAL DR
FAIRFAX, VA 22030
Fairfax City (703) 559-3000
MS. ASTRID BOVET L.C.S.W.
Social Worker (Clinical)
10520 JUDICIAL DR
FAIRFAX, VA 22030
Fairfax City (703) 246-4447
SARAH MAE GARY LPC
Counselor
10520 JUDICIAL DR
FAIRFAX, VA 22030
Fairfax City (703) 246-7901
ANN DINSMOOR SIGAFOOS PH.D.
Psychologist (Clinical)
10520 JUDICIAL DR, FORENSICS PROGRAM, FAIRFAX COUNTY ADULT DETENTION CENTE
FAIRFAX, VA 22030
Fairfax City (703) 246-4454
LEA L MOSES LPC
Counselor (Professional)
10520 JUDICIAL DR
FAIRFAX, VA 22030
Fairfax City (703) 383-8500
ASHLEY HUMPHREY LCSW
Social Worker (Clinical)
10520 JUDICIAL DR
FAIRFAX, VA 22030
Fairfax City (703) 246-5474
MRS. SANDRA LOUISE LOPEZ LPC
Counselor (Addiction (Substance Use Disorder))
10520 JUDICIAL DR
FAIRFAX, VA 22030
Fairfax City (703) 246-4454
CHARLENE ANN BARTLETT L.P.C
Counselor (Professional)
10520 JUDICIAL DR
FAIRFAX, VA 22030
Fairfax City (703) 246-4335

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 Leila Kandahari's NPI number?

The NPI number for Leila Kandahari is 1720548738. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Leila Kandahari located?

Leila Kandahari practices at 10520 Judicial Dr, Fairfax, VA 22030. The listed phone number is (703) 246-2100.

What is Leila Kandahari's specialty?

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

Is Leila Kandahari enrolled in Medicare?

Yes. Leila Kandahari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leila Kandahari was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.