Organization Active NPI

Mitra Shahryary LCSW, Inc

  • Clinical Social Worker
  • Vienna, VA
National Provider Identifier
1700771466
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Mitra Shahryary, LCSWNPI 1487349395
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.