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

Miki Nishida Goerdt

Individual provider Clinical Social Worker · NPI 1558784520

Miki Nishida Goerdt is a Clinical Social Worker in Falls Church, Virginia. Qualified in 2004, 22 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
22
Licensed in
VA
In the registry since
2014
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2916 Lawrence Dr
Falls Church, VA 22042-1405
Phone: (703) 829-6350
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0904007089 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904007089 (VA)

Record details

NPI number1558784520
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 28, 2014
Last updated in NPPESAugust 29, 2020
Certification dateAugust 29, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Falls Church