1. Home
  2. Directory
  3. Virginia
  4. Mclean
  5. Social Worker
  6. NPI Profile

PHYLLIS JACOBSON KRAM LCSW
NPI 1164577474
Social Worker - Clinical in Mclean, VA

Active since January 24, 2007Opted out of Medicare · through Jan 1, 2028
5910 CHESTERBROOK RD, MCLEAN, VA 22101(703) 536-1603 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis Jacobson Kram Lcsw NPPES

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

PHYLLIS JACOBSON KRAM LCSW (NPI 1164577474) is an individual clinical provider in Mclean, Virginia, licensed in Virginia (0904000778) and active in the NPI registry since January 2007. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164577474
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePHYLLIS JACOBSON KRAMCredential: LCSW
Location Address5910 CHESTERBROOK RDMclean, VA 22101-3348
Mailing Address5910 Chesterbrook RdMclean, VA 22101-3348 · (703) 536-1603
Phone(703) 536-1603
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateDecember 11, 2007
✔ NPI 1164577474 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 · 0904000778
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.
5910 CHESTERBROOK RD, Mclean, VA 22101
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Phyllis Jacobson Kram Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22101 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.

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 Phyllis Jacobson Kram's NPI number?

The NPI number for Phyllis Jacobson Kram is 1164577474. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Phyllis Jacobson Kram located?

Phyllis Jacobson Kram practices at 5910 Chesterbrook Rd, Mclean, VA 22101. The listed phone number is (703) 536-1603.

What is Phyllis Jacobson Kram's specialty?

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

Is Phyllis Jacobson Kram enrolled in Medicare?

No. Phyllis Jacobson Kram has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Phyllis Jacobson Kram was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.