Healthcare Provider Details

I. General information

NPI: 1720707540
Provider Name (Legal Business Name): STELLA ASSEFA MSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N WASHINGTON ST STE 102G
FALLS CHURCH VA
22046-3441
US

IV. Provider business mailing address

1601 18TH ST NW APT 506
WASHINGTON DC
20009-2515
US

V. Phone/Fax

Practice location:
  • Phone: 703-923-8965
  • Fax:
Mailing address:
  • Phone: 571-405-8369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0903004725
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904020217
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: