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

Individual provider Clinical Social Worker · NPI 1942733530

Trasie Marie Phillips, LICSW is a Clinical Social Worker in Fairfax, Virginia. Qualified in 2002, 24 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
24
Licensed in
WA
In the registry since
2017
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

12563 Summit Manor Dr Apt 419
Fairfax, VA 22033-5756
Phone: (253) 985-3665
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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 LW60083141 (WA)

Record details

NPI number1942733530
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 10, 2017
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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