Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Tracy Tierney, LICSW, LCSW, LCSW-C

Individual provider Clinical Social Worker · NPI 1073721874

Mary Tracy Tierney, LICSW, LCSW, LCSW-C is a Clinical Social Worker in Fairfax, Virginia. Qualified in 1996, 30 years ago. Practices with Virginia Cancer Specialists, PC, a 79-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia and Virginia.

Years since qualifying
30
Licensed in
DC, VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
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

8613 Lee Hwy
Fairfax, VA 22031-2171
Phone: (703) 208-9383
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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 0904006607 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC303249 (DC)

Record details

NPI number1073721874
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LCSW , LCSW-C
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Virginia Cancer Specialists, P.C. — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fairfax