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

Amanda Carlson

Individual provider Clinical Social Worker · NPI 1073442166

Amanda Carlson is a Clinical Social Worker in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2026.

Licensed in
VA
In the registry since
2026

Practice location Address checks out

3554 Chain Bridge Rd Ste 200
Fairfax, VA 22030-2709
Phone: (703) 896-7628
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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 0904020499 (VA)

Record details

NPI number1073442166
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMay 15, 2026
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709

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