Kelly Davis, LCSW in Leesburg, VA - Medicare Social Worker Provider

Kelly Davis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Leesburg, Virginia. Her current practice location is 42009 Victory Ln, Leesburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 777-0800.

Kelly Davis is licensed to practice in Virginia (license number 0904008699) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346640372.

Contact Information

	Kelly Davis, LCSW
	42009 Victory Ln, Leesburg, VA 20176-6269
	(703) 777-0800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Davis
Gender	Female
Speciality	Social Worker - Clinical
Location	42009 Victory Ln, Leesburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346640372
Provider Enumeration Date: 08/27/2014
Last Update Date: 02/12/2019

Medicare PECOS Information:

PECOS PAC ID: 4981944659
Enrollment ID: I20190314002509

Medical Identifiers

Medical identifiers for Kelly Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346640372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904008699 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Davis allows following entities to bill medicare on her behalf.

Entity Name	Youth For Tomorrow New Life Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316118292 PECOS PAC ID: 1951673227 Enrollment ID: O20170822000018

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Davis, LCSW 11835 Hazel Circle Dr, Bristow, VA 20136-2180 Ph: (703) 636-5100	Kelly Davis, LCSW 42009 Victory Ln, Leesburg, VA 20176-6269 Ph: (703) 777-0800

Reviews and Comments

Social Worker in Leesburg, VA

Jaime Bosserman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Childrens Center Rd Sw, Leesburg, VA 20175 Phone: 703-777-3485
Karen Scarpino Kunzwiler, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44080 Riverpoint Dr, Leesburg, VA 20176 Phone: 443-799-6500
Tammy Johnston, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42009 Victory Ln, Leesburg, VA 20176 Phone: 330-758-4515 Fax: 330-758-5121
Ms. Roshontia Haas, MSS, MLSP, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 102 Heritage Way Ne, Leesburg, VA 20176 Phone: 703-771-5681
Lynn Gurley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Heritage Way Ne Ste 102, Leesburg, VA 20176 Phone: 703-777-0320
John Scott Zeiter, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Childrens Center Rd Sw, Leesburg, VA 20175 Phone: 703-777-3485 Fax: 703-777-4887
Michelle Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Heritage Way Ne Ste 302, Leesburg, VA 20176 Phone: 703-771-5100 Fax: 703-777-0170

Kelly Davis, LCSW - Medicare Clinical Social Worker in Leesburg, VA