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

Mrs. Leticia Flores de Basauri, LMPH-S

Individual provider Clinical Social Worker · NPI 1770949778

Mrs. Leticia Flores de Basauri, LMPH-S is a Clinical Social Worker in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

3541 Chain Bridge Rd Ste 204
Fairfax, VA 22030-2793
Phone: (703) 926-7480
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (VA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1770949778
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMPH-S
Sole proprietorYes
NPI enumeratedJanuary 6, 2016
Last updated in NPPESJanuary 6, 2016

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