Healthcare Provider Details

I. General information

NPI: 1396527560
Provider Name (Legal Business Name): JAVERIA MUNEER MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2023
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11211 WAPLES MILL RD STE 100
FAIRFAX VA
22030-7406
US

IV. Provider business mailing address

11211 WAPLES MILL RD STE 100
FAIRFAX VA
22030-7406
US

V. Phone/Fax

Practice location:
  • Phone: 786-897-0380
  • Fax:
Mailing address:
  • Phone: 786-897-0380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904019642
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: