IndividualActive
Shasta Douglas, MSW
NPI 1265309611 · Social Worker · Fairfax, VA
Shasta Douglas, MSW is a Social Worker provider in Fairfax, VA (NPI 1265309611).
Provider details
- NPI number
- 1265309611
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10300 Eaton Pl Ste 440
Fairfax, VA 22030-2239
Phone: (256) 717-4095
Street-level locationGet directions
Mailing address
10904 Harpers Square Ct
Reston, VA 20191-5011
Registry dates
- Enumerated
- 2025-10-21
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Frequently asked questions
- What is Shasta Douglas's NPI number?
- Shasta Douglas's National Provider Identifier (NPI) is 1265309611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shasta Douglas's specialty?
- Shasta Douglas is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Shasta Douglas located?
- Shasta Douglas's practice location on file with NPPES is 10300 Eaton Pl Ste 440, Fairfax, VA 22030-2239.
- What is Shasta Douglas's phone number?
- The practice phone number listed in the NPPES registry for Shasta Douglas is (256) 717-4095.
- Is Shasta Douglas's NPI active?
- Yes — Shasta Douglas's NPI (1265309611) is active in the NPPES registry as of the last update on 2025-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.