Mitra Shahryary, LCSW in Vienna, VA - Medicare Social Worker Provider

Mitra Shahryary, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Vienna, Virginia. Her current practice location is 9330 Campbell Rd, Vienna, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 856-3297.

Mitra Shahryary is licensed to practice in Virginia (license number 0904009965) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487349395.

Contact Information

	Mitra Shahryary, LCSW
	9330 Campbell Rd, Vienna, VA 22182-2036
	(703) 856-3297
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mitra Shahryary
Gender	Female
Speciality	Social Worker - Clinical
Location	9330 Campbell Rd, Vienna, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487349395
Provider Enumeration Date: 04/06/2023
Last Update Date: 04/06/2023

Medicare PECOS Information:

PECOS PAC ID: 7113381567
Enrollment ID: I20230918003969

Medical Identifiers

Medical identifiers for Mitra Shahryary such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487349395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904009965 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mitra Shahryary allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mitra Shahryary is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mitra Shahryary, LCSW 9330 Campbell Rd, Vienna, VA 22182-2036 Ph: (703) 856-3297	Mitra Shahryary, LCSW 9330 Campbell Rd, Vienna, VA 22182-2036 Ph: (703) 856-3297

Reviews and Comments

Social Worker in Vienna, VA

Brittany Lutz Estep, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 131 Park St Ne, Suite 8a, Vienna, VA 22180 Phone: 571-215-1653
Brian Sheaffer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 Church St Nw Ste 205, Vienna, VA 22180 Phone: 571-261-7764
Miss Sarah Roberts, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2110 Gallows Rd Ste D, Vienna, VA 22182 Phone: 703-592-4600
Sandra L Moncrief-stuart, MA, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Park St Ne, Vienna, VA 22180 Phone: 703-281-4928
Rose Marie Mcintrye, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Park St Ne, Vienna, VA 22180 Phone: 703-281-2657
Sarah Hagen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 129 Park St Ne Ste 10a, Vienna, VA 22180 Phone: 703-401-8571
Mr. James Robert Lippold, LCSW-0904012388 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Beulah Road, Ne, Suite 200-b, Vienna, VA 22180 Phone: 703-255-7012 Fax: 703-255-6171

Mitra Shahryary, LCSW - Medicare Clinical Social Worker in Vienna, VA