Elizabeth Naar Sedaghatfar, L.C.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904004936 Issued in VA

Practice address

1577 Inlet CT
Reston, VA 20190-4425

Phone

(703) 298-2290

Fax

(703) 925-6925

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740209378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 INLET CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904425",
            "telephone_number": "703-298-2290",
            "fax_number": "703-925-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 INLET CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904425",
            "telephone_number": "703-298-2290",
            "fax_number": "703-925-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDAGHATFAR",
        "first_name": "ELIZABETH",
        "middle_name": "NAAR",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904004936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LICENSE #",
            "identifier": "0904004936",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope Taylor Scott, M.D.
• Latasha Monique Scott, LPC
• Charles N Seal, MD
• Mia Mackenzie Sebastian
• Theodore Stewart Sebastien, MD
• Kourosh Seifolahi Bazarjani, DDS
• Emma Morgan Selby
• Tehila Selzer-Putney, PH.D.
• Olivia Seneff, DPT
• Nam Kyung Senerchia

• Mental Health Counselor in Reston, VA
• Providers in Reston, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.