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

Michelle Booth, LCSW

Organization Clinical Social Worker · NPI 1851799324

Michelle Booth, LCSW is a Clinical Social Worker in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2014.

Licensed in
VA
In the registry since
2014

Practice location Address checks out

10560 Main St Ste 405
Fairfax, VA 22030-7182
Phone: (571) 477-0096
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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 0904006947 (VA)

Record details

NPI number1851799324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Booth — Psychotherapist · (571) 477-0096
NPI enumeratedDecember 15, 2014
Last updated in NPPESDecember 15, 2014
Mailing address7514 Pollen St, Lorton, VA 22079-1639

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