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

Mr. Michael A Suppa, LCSW

Individual provider Clinical Social Worker · NPI 1114937943

Mr. Michael A Suppa, LCSW is a Clinical Social Worker in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2006
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

12011 Government Center Pkwy
Fairfax, VA 22035-1100
Phone: (703) 324-7000
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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 0904003713 (VA)

Record details

NPI number1114937943
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 8, 2006
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address12011 Government Center Pkwy, Fairfax, VA 22035-1100

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