Individual provider Active NPI

Martha R. Miller, LCSW

  • Clinical Social Worker
  • Fairfax Station, VA
National Provider Identifier
1083858351
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006988 Issued in VA
Practice address
6312 Barsky CT
Fairfax Station, VA 22039-1641
Phone
(703) 850-8067
Fax
(703) 859-7686
NPI assigned
Apr 29, 2009
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904006988 VA Primary

Addresses

Primary practice location

6312 Barsky CT
Fairfax Station, VA 22039-1641

Mailing address

PO Box 45
MC Lean, VA 22101-0045
Phone (703) 850-8067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140730001007 DC Practitioner - Clinical Social Worker 7315163219 Reassigns benefits to 1 organization
Practice locations: MC Lean, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Safe Harbor Behavioral Care of Northern Virginia LLCGroup PAC ID 0446531040, 4 clinicians

Practice addresses (Care Compare)

6427 Franconia Rd
Springfield, VA 22150-1210
Phone (410) 893-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Care of Northern Virginia LLC Clinical CurrentSince Sep 21, 2016 Accepting new patients
Safe Harbor Behavioral Care, LLC Clinical PastSince Mar 7, 2023 Accepting new patients
Ehome Behavioral Care Clinical Past Accepting new patients

Locations

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

6408 Grovedale Dr
Ste 200
Alexandria, VA 22310

6427 Franconia Rd
Springfield, VA 22150
Phone (571) 234-1851

8304 Old Keene Mill Rd
Springfield, VA 22152
Phone (314) 873-1717

8841 Richmond Rd W
Toano, VA 23168

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1083858351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221010045",
            "telephone_number": "703-850-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 BARSKY CT",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391641",
            "telephone_number": "703-850-8067",
            "fax_number": "703-859-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARTHA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax Station, VA

Sources for this page

Verify at the official NPI Registry.