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

Individual provider Clinical Social Worker · NPI 1003776782

Micaela Soledad Gimenez, LCSW is a Clinical Social Worker in Manassas, Virginia. Qualified in 2022, 4 years ago. Licensed in Virginia.

Years since qualifying
4
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

9320 Lee Ave
Manassas, VA 20110-5517
Phone: (703) 792-6420
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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 0904019479 (VA)

Record details

NPI number1003776782
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 14, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 14, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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