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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL A SUPPA, LCSW

Active Sole Proprietor

MR. MICHAEL A SUPPA, LCSW is a Clinical Social Worker healthcare provider located in FAIRFAX, Virginia. NPI 1114937943 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FAIRFAX, VA

Registration Details

NPI Number
1114937943
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2006 (19.997314513132 yrs)
Last Updated
Apr 3, 2024
License
0904003713 (VA)
Sole Proprietor
Yes

Practice Information

Address
12011 GOVERNMENT CENTER PKWY
FAIRFAX, VA, 220351100
Browse VA providers · Browse ZIP 22035
Phone
7033247000
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in FAIRFAX, VA

Name Credential NPI
MS. CHARLOTTE SOFIA JOELSSON L.C.S.W. 1841283280
MS. ELIZABETH WEEKS MUSIL LCSW DCSW 1184619322
MRS. REBECCA LYNN PUCHY L.C.S.W. 1134119159
MRS. LORRIE RUBIN APPLETON M.S.W. 1295725737
MRS. TRESA ANNE SCOTT LCSW-C 1346230778
KATIE R. EUSTICE LMSW-CC, CADC 1093797060
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.