Individual provider Active NPI

Julia Elise Sanders, LCSW, LICSW, LCSW-C

  • Clinical Social Worker
  • Falls Church, VA
National Provider Identifier
1255003125
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904017077 Issued in VA
Practice address
3190 Fairview Park Dr Suite 200
Office #6
Falls Church, VA 22042
Phone
(315) 456-9551
NPI assigned
Sep 29, 2021
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 099921 NY
Clinical Social Worker 1041C0700X 7048C AL
Clinical Social Worker 1041C0700X 0904017077 VA Primary
Clinical Social Worker 1041C0700X LC200004928 DC
Clinical Social Worker 1041C0700X 28972 MD

Addresses

Primary practice location

3190 Fairview Park Dr Suite 200
Office #6
Falls Church, VA 22042

Mailing address

8401 Mayland Dr Ste a
Richmond, VA 23294-4648

Other practice location 1

3921 Blenheim Blvd Ste 73C
Fairfax, VA 22030-2429
Phone (315) 456-9551

Other identifiers 1

IdentifierTypeStateIssuer
TPSW7102OtherFLOUT-OF-STATE TELEHEALTH PROVIDER FOR THE STATE OF FLORIDA AS A TLHT LCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904017077VAMDClinical Social Worker
28972MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Challenged Hearts Healing Center LLC Clinical Current Accepting new patients

Locations

3190 Fairview Park Dr
Ste 200
Falls Church, VA 22042

8401 Mayland Dr
Ste A
Richmond, VA 23294
Phone (980) 890-7995

Organizations & group practices 1

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1255003125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 FAIRVIEW PARK DR SUITE 200",
            "address_2": "OFFICE #6",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22042",
            "telephone_number": "315-456-9551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3921 Blenheim Blvd Ste 73C",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220302429",
            "country_code": "US",
            "telephone_number": "315-456-9551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JULIA",
        "middle_name": "ELISE",
        "credential": "LCSW, LICSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099921",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "7048C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017077",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200004928",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "28972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT-OF-STATE TELEHEALTH PROVIDER FOR THE STATE OF FLORIDA AS A TLHT LCSW",
            "identifier": "TPSW7102",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.