Provider Demographics
NPI:1114336054
Name:SHORMAN, STEVE (JD, LCSW)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:SHORMAN
Suffix:
Gender:M
Credentials:JD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12011 GOVERNMENT CENTER PKWY STE 836
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22035-1100
Mailing Address - Country:US
Mailing Address - Phone:703-324-7000
Mailing Address - Fax:
Practice Address - Street 1:4000 CHAIN BRIDGE RD STE 2300
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-4017
Practice Address - Country:US
Practice Address - Phone:703-397-7450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040084801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical