HOLLY JO-ANN BURLEY LCSW
NPI 1104310762
Social Worker - Clinical in Chantilly, VA

Q: What is Holly Burley's NPI number?

The NPI number for Holly Burley is 1104310762. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Holly Burley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Holly Burley was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2018PECOS Enrolled

4213 WALNEY RD, CHANTILLY, VA 20151(703) 502-7009 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 9, 2024, May 26, 2023, Feb 18, 2022 and 1 more (4 updates tracked since 2018).

On this page

About Holly Jo-ann Burley Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY JO-ANN BURLEY LCSW (NPI 1104310762) is an individual clinical provider in Chantilly, Virginia, licensed in Virginia (0904013678) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104310762

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameHOLLY JO-ANN BURLEYCredential: LCSW

Location Address4213 WALNEY RDChantilly, VA 20151-2923

Mailing Address4213 Walney RdChantilly, VA 20151-2923

Phone(703) 502-7009

Sole ProprietorNo

Enumeration DateJune 18, 2018

Last NPPES UpdateApril 9, 20244 updates tracked since enumeration

NPPES CertifiedApril 9, 2024

✔ NPI 1104310762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in VA · 0904013678

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4213 WALNEY RD, Chantilly, VA 20151

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Secondary Practice Locations 2

Location 110520 Judicial DrFairfax, VA 22030-5115 · Phone (703) 383-8500

Location 28221 Willow Oaks Corporate DrFairfax, VA 22031-4512 · Phone (703) 383-8500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Jo-ann Burley Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Holly Burley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairfax County, Virginia

4.4 mi

Mental Health (Including Community Mental Health Center)

12011 GOVERNMENT CENTER PARKWAY, SUITE 836
Fairfax, VA 22035

Reassigned Medicare billing, District of Columbia enrollment
Medicare enrollment name: Director Of Finance-County Of Fairfax Va
383 clinicians in this Medicare group

NPI 1154356244 (703) 324-7000

County Of Loudoun, Virginia

17 mi

Mental Health (Including Community Mental Health Center)

102 HERITAGE WAY NE, SUITE 310
Leesburg, VA 20176

Reassigned Medicare billing, Virginia enrollment
59 clinicians in this Medicare group

NPI 1386753291 (703) 737-8677

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20151 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $65.18 – $194.86

Typical copayment $0.00 (range $16.29 – $48.71)

Most-billed visit code NA

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. XIN WANG NP

Nurse Practitioner (Adult Health)