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General NPI Number Information
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NPI Number | 1730048265
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Entity Type | Individual
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Provider Name | GEORGE SPURR YOUNG LCSW, MAC
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Gender | Male
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 7805 PREAKNESS LN
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City | FAIRFAX STATION
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State | VA
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Zip | 22039-3415
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Country | US
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Telephone | 703-932-6986
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Fax |
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Provider Business Mailing Address
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Address Line | 9230 OLD KEENE MILL RD # 1012
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City | BURKE
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State | VA
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Zip | 22015-4201
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Country | US
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Telephone | 703-932-6986
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200001791
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 28425
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904002679
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License Number State | VA
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