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

Khadija Manssouri, LCSW

Individual provider Counselor · NPI 1336010370

Khadija Manssouri, LCSW is a Clinical Social Worker in Salem, Virginia. Qualified in 2020, 6 years ago. Practices with Ascension Psychiatric Services LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1801 Braeburn Dr Apt 205
Salem, VA 24153-7341
Phone: (540) 685-7177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 0904019070 (VA)

Record details

NPI number1336010370
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 15, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ascension Psychiatric Services Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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