Active NPI
Samantha Mazzan, QMHP; MSW SUPERVISEE
- Clinical Social Worker
- Springfield, VA
National Provider Identifier
1487589016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 6563 Edsall Rd
Springfield, VA 22151-4414 - Phone
- (703) 354-0000
- Fax
- (703) 354-1129
- NPI assigned
- Jun 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | VA | Primary |
Addresses
Primary practice location
6563 Edsall Rd
Springfield, VA 22151-4414
Mailing address
19084 Youngs Cliff Rd
Sterling, VA 20165-2568
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicultural Clinical Center | Past | Accepting new patients | |
| Multicultural Clinical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Springfield, VA
- NPI 1487989471
-
- Counselor
- Springfield, VA
- NPI 1952360612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1487589016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19084 YOUNGS CLIFF RD",
"city": "STERLING",
"state": "VA",
"postal_code": "201652568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6563 EDSALL RD",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221514414",
"telephone_number": "703-354-0000",
"fax_number": "703-354-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZAN",
"first_name": "SAMANTHA",
"name_prefix": "Ms.",
"credential": "QMHP; MSW SUPERVISEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.