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

Makoto Tanaka, LCSW

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073706727

Makoto Tanaka, LCSW is a Clinical Social Worker in Alexandria, Virginia. Qualified in 2008, 18 years ago. Practices with Director of Finance-County of Fairfax VA, a 176-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
18
Licensed in
VA
In the registry since
2007
Specialties on file
2
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

6901 S Van Dorn St
Alexandria, VA 22315-3961
Phone: (703) 313-6323
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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 0904009432 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073706727
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 24, 2007
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Director Of Finance-County Of Fairfax Va — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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