KYLE AUGUSTUS STEPHAN
NPI 1851172902
Social Worker - Clinical in Fairfax, VA

Active since October 12, 2023
3930 WALNUT ST STE 250, FAIRFAX, VA 22030(703) 782-3710 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyle Augustus Stephan NPPES

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

KYLE AUGUSTUS STEPHAN (NPI 1851172902) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0906014693) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1851172902
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKYLE AUGUSTUS STEPHAN
Location Address3930 WALNUT ST STE 250Fairfax, VA 22030-4750
Mailing Address15089 Purcellville RdHillsboro, VA 20132-3658
Sole ProprietorNo
Enumeration DateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
NPI 1851172902 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 · 0906014693
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.
3930 WALNUT ST STE 250, Fairfax, VA 22030

Other Providers at the Same Location NPPES 5

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

Counselor (Mental Health)
3930 WALNUT ST STE 250
FAIRFAX, VA 22030
Social Worker (Clinical)
3930 WALNUT ST STE 250
FAIRFAX, VA 22030
Social Worker (Clinical)
3930 WALNUT ST STE 250
FAIRFAX, VA 22030
Counselor (Mental Health)
3930 WALNUT ST STE 250
FAIRFAX, VA 22030
Counselor (Mental Health)
3930 WALNUT ST STE 250
FAIRFAX, VA 22030

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 Kyle Stephan's NPI number?

The NPI number for Kyle Stephan is 1851172902. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Where is Kyle Stephan located?

Kyle Stephan practices at 3930 Walnut St Ste 250, Fairfax, VA 22030. The listed phone number is (703) 782-3710.

What is Kyle Stephan'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 Kyle Stephan was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.