MR. JAMES G BALICK LCSW
NPI 1396021168
Social Worker - Clinical in Fairfax, VA

Active since October 25, 2011PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
8221 WILLOW OAKS CORPORATE DR # 4420, FAIRFAX, VA 22031(571) 623-3500 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. James G Balick Lcsw NPPES

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

MR. JAMES G BALICK LCSW (NPI 1396021168) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904002758) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Arlington, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1396021168
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JAMES G BALICKCredential: LCSW
Location Address8221 WILLOW OAKS CORPORATE DR # 4420Fairfax, VA 22031-4512
Mailing Address2505 Key BlvdArlington, VA 22201-4021 · (703) 525-1555
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 25, 2011
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
NPI 1396021168 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 · 0904002758
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.

8221 WILLOW OAKS CORPORATE DR # 4420, Fairfax, VA 22031

Other Names 1

Professional Name (2)Jim Balick Lcsw

Secondary Practice Location 1

Location 12505 Key BlvdArlington, VA 22201-4021 · Phone (703) 525-1555

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

Mr. James G Balick 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 ID9032489430
PECOS Enrollment IDI20170718001542
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
91 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR # 4420
FAIRFAX, VA 22031
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR # 4420
FAIRFAX, VA 22031

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 James Balick's NPI number?

The NPI number for James Balick is 1396021168. It was assigned to this individual provider in the NPPES registry on October 25, 2011. The provider is also known as Jim Balick Lcsw.

Where is James Balick located?

James Balick practices at 8221 Willow Oaks Corporate Dr # 4420, Fairfax, VA 22031. The listed phone number is (571) 623-3500.

What is James Balick's specialty?

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

Is James Balick enrolled in Medicare?

Yes. James Balick 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 James Balick was last updated on March 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.