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NPI Code Detail

MEDICARE: FAIRFAX COUNTY PUBLIC SCHOOL

MEDICARE: FAIRFAX COUNTY PUBLIC SCHOOL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041S0200XSchool Social Worker

General Provider Information

NPI Number : 1477415743
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAIRFAX COUNTY PUBLIC SCHOOL
Provider Business Mailing Address
First Line : 8270 WILLOW OAKS CORPORATE DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4530
Country : US
Telephone Number : 571-243-8644
Fax Number : 571-243-8644
Provider Business Practice Location Address
First Line : 8270 WILLOW OAKS CORPORATE DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4530
Country : US
Telephone Number : 571-243-8644
Fax Number : 571-243-8644
Authorized Official
Title or Position : SOCIAL WORKER
Name : TRACI ANN RENO
Credential : LCSW
Telephone Number : 571-243-8644
Provider Enumeration Date : 11/25/2025
Last Update Date : 05/12/2026

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Directions to “FAIRFAX COUNTY PUBLIC SCHOOL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.