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

Mitra Shahryary, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Vienna, Virginia. She graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sondermind Provider Network Llc and her current practice location is 278 Cedar Ln Se # 4112, Vienna, Virginia. You can reach out to her office (for appointments etc.) via phone at (202) 750-1138.

Mitra Shahryary is licensed to practice in Virginia (license number 0904009965) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487349395.

Contact Information

	Mitra Shahryary, LCSW
	278 Cedar Ln Se # 4112, Vienna, VA 22180-6613
	(202) 750-1138
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mitra Shahryary
Gender	Female
Speciality	Clinical Social Worker
Experience	15 Years
Location	278 Cedar Ln Se # 4112, Vienna, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mitra Shahryary graduated from medical school in 2010

NPI Data:

NPI Number: 1487349395
Provider Enumeration Date: 04/06/2023
Last Update Date: 10/17/2025

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

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sondermind Provider Network Llc	9537572490	874

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 278 Cedar Ln Se # 4112, Vienna, VA 22180-6613 Ph: (202) 750-1138	Mitra Shahryary, LCSW 278 Cedar Ln Se # 4112, Vienna, VA 22180-6613 Ph: (202) 750-1138

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