KELLY W. HEADLEY LCSW
NPI 1104363282
Social Worker - Clinical in Ashburn, VA

Active since January 26, 2017
20110 ASHBROOK PL STE 275, ASHBURN, VA 20147(571) 306-3038 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly W. Headley Lcsw NPPES

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

KELLY W. HEADLEY LCSW (NPI 1104363282) is an individual clinical provider in Ashburn, Virginia, licensed in Virginia (0904008804) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1104363282
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY W. HEADLEYCredential: LCSW
Location Address20110 ASHBROOK PL STE 275Ashburn, VA 20147-5065
Mailing Address20110 Ashbrook Pl Ste 275Ashburn, VA 20147-5065 · (571) 306-3038
Sole ProprietorNo
Enumeration DateJanuary 26, 2017
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1104363282 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 · 0904008804
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.

20110 ASHBROOK PL STE 275, Ashburn, VA 20147

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
20110 ASHBROOK PL STE 275
ASHBURN, VA 20147

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 Kelly Headley's NPI number?

The NPI number for Kelly Headley is 1104363282. It was assigned to this individual provider in the NPPES registry on January 26, 2017.

Where is Kelly Headley located?

Kelly Headley practices at 20110 Ashbrook Pl Ste 275, Ashburn, VA 20147. The listed phone number is (571) 306-3038.

What is Kelly Headley's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Headley was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.