Healthcare Provider Details

I. General information

NPI: 1245103092
Provider Name (Legal Business Name): NEDA HEJAZI LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2025
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1593 SPRING HILL RD STE 705
VIENNA VA
22182-2289
US

IV. Provider business mailing address

8434 KITCHENER DR
SPRINGFIELD VA
22153-3424
US

V. Phone/Fax

Practice location:
  • Phone: 703-844-3620
  • Fax:
Mailing address:
  • Phone: 571-719-1197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: