Individual provider Active NPI

Laeli Sharifi Wilson, LCP

  • Clinical Psychologist
  • Winchester, VA
National Provider Identifier
1689132557
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810008217 Issued in VA
Practice address
116 W Piccadilly St Ste 8
Winchester, VA 22601-3965
Phone
(703) 810-3859
Fax
(703) 804-7420
NPI assigned
Mar 8, 2019
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810008217 VA Primary

Addresses

Primary practice location

116 W Piccadilly St Ste 8
Winchester, VA 22601-3965

Mailing address

116 W Piccadilly St Ste 8
Winchester, VA 22601-3965
Phone (703) 810-3859

Other names 1

  • Laeli Sharifi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240119000529 VA Practitioner - Clinical Psychologist 8224480835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodbridge Psychological Associates PCGroup PAC ID 1052689379, 8 clinicians

Practice addresses (Care Compare)

4320 Prince William Pkwy
Suite 109
Woodbridge, VA 22192-8100
Phone (703) 680-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Woodbridge Psychological Associates, P.C. Clinical CurrentSince Dec 1, 2023 Accepting new patients
Loudoun Psychological Services, LLC Past Accepting new patients

Locations

4320 Prince William Pkwy
Ste 109
Woodbridge, VA 22192
Phone (703) 680-4200

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, 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": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1689132557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W PICCADILLY ST STE 8",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013965",
            "telephone_number": "703-810-3859",
            "fax_number": "703-804-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W PICCADILLY ST STE 8",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013965",
            "telephone_number": "703-810-3859",
            "fax_number": "703-804-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAELI",
        "middle_name": "SHARIFI",
        "credential": "LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAELI",
            "last_name": "SHARIFI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.