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

Active since June 18, 2018PECOS EnrolledAccepts Medicare Assignment
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: August 09, 2026.

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

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, maintains 2 additional practice locations, and is a graduate of Other (2011).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Holly Jo-ann Burley Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163802547
PECOS Enrollment IDI20220630003118
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.

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.

Nurse Practitioner (Adult Health)
4213 WALNEY RD
CHANTILLY, VA 20151
Counselor (Professional)
4213 WALNEY RD
CHANTILLY, VA 20151
Social Worker (Clinical)
4213 WALNEY RD
CHANTILLY, VA 20151
Registered Nurse
4213 WALNEY RD
CHANTILLY, VA 20151
Substance Abuse Rehabilitation Facility
4213 WALNEY RD
CHANTILLY, VA 20151
Student in an Organized Health Care Education/Training Program
4213 WALNEY RD
CHANTILLY, VA 20151
Social Worker (Clinical)
4213 WALNEY RD
CHANTILLY, VA 20151
Registered Nurse (Addiction (Substance Use Disorder))
4213 WALNEY RD
CHANTILLY, VA 20151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Holly Burley located?

Holly Burley practices at 4213 Walney Rd, Chantilly, VA 20151. The listed phone number is (703) 502-7009.

What is Holly Burley's specialty?

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

Is Holly Burley enrolled in Medicare?

Yes. Holly Burley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.