Kelly W Headley, LCSW - Medicare Clinical Social Worker in Leesburg, VA

Kelly W Headley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Leesburg, Virginia. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice County Of Loudoun Virginia and her current practice location is 102 Heritage Way Ne Ste 103, Leesburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 771-5379.

Kelly W Headley is licensed to practice in Virginia (license number 0904008804) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104363282.

Contact Information

Kelly W Headley, LCSW
102 Heritage Way Ne Ste 103,
Leesburg, VA 20176-4544
(703) 771-5379
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelly W Headley
GenderFemale
SpecialityClinical Social Worker
Experience17 Years
Location102 Heritage Way Ne Ste 103, Leesburg, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly W Headley graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1104363282
  • Provider Enumeration Date: 01/26/2017
  • Last Update Date: 01/26/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7911321799
  • Enrollment ID: I20200727002362

Medical Identifiers

Medical identifiers for Kelly W Headley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104363282NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 0904008804 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
County Of Loudoun Virginia842603995923

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 W Headley allows following entities to bill medicare on her behalf.
Entity NameCounty Of Loudoun Virginia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386753291
PECOS PAC ID: 8426039959
Enrollment ID: O20040528000959

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 W Headley 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 AddressPractice Location Address
Kelly W Headley, LCSW
308 N Lincoln Ave,
Sterling, VA 20164-2526

Ph: (571) 217-0986
Kelly W Headley, LCSW
102 Heritage Way Ne Ste 103,
Leesburg, VA 20176-4544

Ph: (703) 771-5379

Reviews and Comments


Social Worker in Leesburg, VA

Jaime Bosserman,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 801 Childrens Center Rd Sw, Leesburg, VA 20175
Phone: 703-777-3485    
Karen Scarpino Kunzwiler, LCSW-C
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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: Medicare Enrolled
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.