Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifespan Counseling Services, LLC

Organization Clinical Social Worker · NPI 1407173248

Lifespan Counseling Services, LLC is a Clinical Social Worker in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2010.

Licensed in
VA
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8500 Executive Park Ave Ste 204
Fairfax, VA 22031-2253
Phone: (703) 876-8480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904006801 (VA)

Record details

NPI number1407173248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danielle Nicholson — Social Worker · (703) 490-9681
NPI enumeratedMay 3, 2010
Last updated in NPPESApril 29, 2015
Mailing address5104 Coleridge Dr, Fairfax, VA 22032-2420

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