Active NPI
Mitra Shahryary LCSW, Inc
- Clinical Social Worker
- Vienna, VA
National Provider Identifier
1700771466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MITRA SHAHRYARY LCSW, INC
- Practice address
- 9330 Campbell Rd
Vienna, VA 22182-2036 - Phone
- (202) 750-1138
- NPI assigned
- Jun 11, 2025
- Last updated
- Sep 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mitra Shahryary, LCSW
- Title
- Clinician
- Phone
- (202) 750-1138
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
9330 Campbell Rd
Vienna, VA 22182-2036
Mailing address
278 Cedar LN SE # 4112
Vienna, VA 22180-6613
Phone (202) 750-1138
Other practice location 1
2725 Oldewood Dr
Falls Church, VA 22043
Phone (202) 750-1138
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Falls Church, VA
- NPI 1487349395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1700771466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 CEDAR LN SE # 4112",
"city": "VIENNA",
"state": "VA",
"postal_code": "221806613",
"telephone_number": "202-750-1138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 CAMPBELL RD",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822036",
"telephone_number": "202-750-1138"
}
],
"practiceLocations": [
{
"address_1": "2725 Oldewood Dr",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "22043",
"country_code": "US",
"telephone_number": "202-750-1138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MITRA SHAHRYARY LCSW, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-11",
"last_updated": "2026-09-25",
"certification_date": "2025-10-17",
"status": "A",
"authorized_official_last_name": "SHAHRYARY",
"authorized_official_first_name": "MITRA",
"authorized_official_title_or_position": "CLINICIAN",
"authorized_official_telephone_number": "202-750-1138",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.