Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346318763 Individual Practitioner Male Practitioner

Stuart Coleman Moore , LCSW

Psychologist • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Stuart Moore, LCSW is a registered healthcare professional specializing in Psychologist in Fairfax, VA. Practice services are available at 10560 MAIN ST STE 511B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10560 Main St Ste 511b

Fairfax, VA 220307173

Telephone 7033860050
Fax 7034766013
Associated Practice Facility / Clinic
🏢 Stuart Moore Llc Facility NPI 1417440397

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fairfax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.8 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
48 Specialists

Practicing in Fairfax, VA (511 Statewide)

Telehealth Adoption Rate
12.5% 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: 2025-10-09
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License VA 0904003326

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Philip Haber , MS

Counselor - Professional

NPI 1497892269

Master of Science

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location October 09, 2025

Registered at 10560 MAIN ST STE 511B, FAIRFAX, VA 220307173 (Tel: 7033860050)

📍
Updated Business Mailing Address October 09, 2025

Registered at 10560 MAIN ST STE 511B, FAIRFAX, VA 220307173 (Tel: 7033860050)

📍
Updated Practice Location April 20, 2018

Registered at 8101 HINSON FARM RD STE 117, ALEXANDRIA, VA 223063404 (Tel: 7033860050)

NPI Profile Active January 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2017

Registered at 12050 S LAKES DR, RESTON, VA 201911220 (Tel: 7033860050)

📍
Updated Business Mailing Address January 19, 2017

Registered at 12050 S LAKES DR, RESTON, VA 201911220 (Tel: 7033860050)

👤
Provider Name / Credentials Updated January 19, 2017

Recorded as STUART MOORE, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Psychologist (License #0904003326 in VA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 8550 LEE HIGHWAY, SUITE 300, FAIRFAX, VA 220314512 (Tel: 7032072864)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNI, KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, ROCKVILLE, MD 208524908 (Tel: 3018166660)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STUART MOORE, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #0904003326 in VA)

🟢
Initial NPI Registration & Enumeration December 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1346318763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: October 09, 2025
Sole Proprietor: Yes

Mailing Address

10560 Main St Ste 511b

Fairfax, VA 220307173

Phone: 7033860050

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.