Individual provider Active NPI

Leila Kandahari, LCSW

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1720548738
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014402 Issued in VA
Practice address
10520 Judicial Dr
Fairfax, VA 22030-5115
Phone
(703) 246-2100
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710103335
Clinical Social Worker 1041C0700X 30770 MD
Clinical Social Worker 1041C0700X 0904014402 VA Primary

Addresses

Primary practice location

10520 Judicial Dr
Fairfax, VA 22030-5115

Mailing address

10520 Judicial Dr
Fairfax, VA 22030-5115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230927004369 DC Practitioner - Clinical Social Worker 1658725460 Reassigns benefits to 2 organizations
I20250624003318 VA Practitioner - Clinical Social Worker 1658725460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians

Practice addresses (Care Compare)

12701 Marblestone Dr
Suite 250
Woodbridge, VA 22192-8326
Phone (703) 202-9069

2501 N Glebe Rd
Suite 303
Arlington, VA 22207-3558
Phone (703) 841-1290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30770MDMDClinical Social Worker
0904014402VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebirds Counselling and Recovery Solutions LLC Clinical CurrentSince Jun 10, 2025 Accepting new patients
Fairfax County, Virginia CurrentSince Oct 12, 2025 Accepting new patients
Columbia Associates in Psychiatry PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519

12011 Government Center Pkwy
Ste 836
Fairfax, VA 22035
Phone (703) 324-7017

10520 Judicial Dr
Fairfax, VA 22030
Phone (703) 246-2100

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031
Phone (703) 289-7599

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

12701 Marblestone Dr
Ste 250
Woodbridge, VA 22192
Phone (703) 202-9069

12504 Lake Ridge Dr
Ste B
Woodbridge, VA 22192
Phone (703) 232-0033

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1720548738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10520 JUDICIAL DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 JUDICIAL DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305115",
            "telephone_number": "703-246-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDAHARI",
        "first_name": "LEILA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "0710103335",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "30770",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.