Healthcare Provider Details

I. General information

NPI: 1346310729
Provider Name (Legal Business Name): NILOFAR NADERI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8270 WILLOW OAKS CORPORATE DR
FAIRFAX VA
22031-4511
US

IV. Provider business mailing address

7700 LEESBURG PIKE SUITE 200
FALLS CHURCH VA
22043-2615
US

V. Phone/Fax

Practice location:
  • Phone: 703-921-2392
  • Fax:
Mailing address:
  • Phone: 202-352-6712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberPPS-0602452
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: