Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962911040 Individual Practitioner Female Practitioner

Mavis Mintaah , LCSW

Social Worker - Clinical • Dumfries, VA

Professional Overview & Biography Verified Profile Summary

Mavis Mintaah, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Dumfries, VA. Practice services are available at 3700 FETTLER PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3700 Fettler Park Dr

Dumfries, VA 220252050

Telephone 7034417680
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Dumfries, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
21 Specialists

Practicing in Dumfries, VA (8272 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-17
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License VA 0904010070

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Dr. Teonette Velasco , DPT

Physical Therapist

NPI 1053307553

Doctor of Physical Therapy

Claudia Goodall , LCSW

Social Worker - Clinical

NPI 1053581173

Licensed Clinical Social Worker

Amanda Hopkins

Physical Therapist

NPI 1063863348
Maura Jensen , RN

Registered Nurse - Case Management

NPI 1114731650

Registered Nurse

NPI 1114907037

PHYSICALTHERAPIST

Meredith Tussing , WHNP

Nurse Practitioner

NPI 1154601987

Women's Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 17, 2025

Registered at 3700 FETTLER PARK DR, DUMFRIES, VA 220252050 (Tel: 7034417680)

📍
Updated Business Mailing Address April 17, 2025

Registered at 3700 FETTLER PARK DR, DUMFRIES, VA 220252050 (Tel: 7034417680)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2025

Social Worker

NPI Profile Active September 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2017

Registered at 200 N 22ND ST, RICHMOND, VA 232237020 (Tel: (804) 644-9590)

📍
Updated Business Mailing Address September 21, 2017

Registered at 200 N 22ND ST, RICHMOND, VA 232237020 (Tel: 8046449590)

👤
Provider Name / Credentials Updated September 21, 2017

Recorded as MAVIS MINTAAH, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2017

Social Worker (License #0904010070 in VA)

🟢
Initial NPI Registration & Enumeration September 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962911040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2017
Last Update: April 17, 2025
Sole Proprietor: Yes

Mailing Address

3700 Fettler Park Dr

Dumfries, VA 220252050

Phone: 7034417680

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.