IndividualActive
Randy Shusman, LCSW
NPI 1811235047 · Social Worker · Fairfax, VA
Randy Shusman, LCSW is a Social Worker provider in Fairfax, VA (NPI 1811235047).
Provider details
- NPI number
- 1811235047
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 0904007117 (VA)
Practice location
12124 Garden Ridge Ln Unit 201
Fairfax, VA 22030-9026
Phone: (703) 909-0820
Street-level locationGet directions
Mailing address
12124 Garden Ridge Ln Unit 201
Fairfax, VA 22030-9026
Registry dates
- Enumerated
- 2013-01-23
- Last updated
- 2013-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.