MEDICARE: MRS. SALOMEH SOLEIMANPOUR RAHNAMA LCSW

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
1	1041S0200X	School Social Worker		VA

General Provider Information

NPI Number	:	1972394872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SALOMEH SOLEIMANPOUR RAHNAMA LCSW

Provider Business Mailing Address
First Line	:	8718 OLD MOUNT VERNON RD
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22309-2014
Country	:	US
Telephone Number	:	703-799-2084
Fax Number	:	703-799-2097

Provider Business Practice Location Address
First Line	:	8718 OLD MOUNT VERNON RD
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22309-2014
Country	:	US
Telephone Number	:	703-799-2084
Fax Number	:	703-799-2097

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	05/13/2025

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