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DR. KERRY LEDDY MALAWISTA MSW, PH.D.
NPI 1407395791
Social Worker - Clinical in Mc Lean, VA

Active since February 20, 2017Opted out of Medicare · through Apr 1, 2027
6842 ELM ST, SUITE 104, MC LEAN, VA 22101(703) 734-1100 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kerry Leddy Malawista Msw, Ph.d. NPPES

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

DR. KERRY LEDDY MALAWISTA MSW, PH.D. (NPI 1407395791) is an individual clinical provider in Mc Lean, Virginia, licensed in Virginia (0904001279) and active in the NPI registry since February 2017. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407395791
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. KERRY LEDDY MALAWISTACredential: MSW, PH.D.
Location Address6842 ELM ST, SUITE 104Mc Lean, VA 22101-3891
Mailing Address6842 Elm St, Suite 104Mc Lean, VA 22101-3891 · (703) 734-1100
Phone(703) 734-1100
Sole ProprietorYes
Enumeration DateFebruary 20, 2017
✔ NPI 1407395791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in VA · 0904001279✔ Licensed in MD · 5259
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.
6842 ELM ST, Mc Lean, VA 22101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kerry Leddy Malawista Msw, Ph.d. 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 April 1, 2013 through April 1, 2027.

Opt-Out Effective DateApril 1, 2013
Opt-Out In Effect ThroughApril 1, 2027Opt-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.

Other Providers at the Same Location NPPES 10

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

MS. BETTE J HARRINGTON LCSW
Counselor (Mental Health)
6842 ELM ST, STE. 201
MCLEAN, VA 22101
Fairfax County (703) 442-7994
DR. JENNIFER ALOE KAHLER PSY.D.
Psychologist (Clinical)
6842 ELM ST, SUITE 103
MC LEAN, VA 22101
Fairfax County (202) 595-8985
MRS. SARA WANNER GROARK LPC,LMFT,CSAC
Marriage & Family Therapist
6842 ELM ST, SUITE 104
MC LEAN, VA 22101
Fairfax County (703) 855-1312
KATHRYN ARNOLD FORD PH.D.
Psychologist (Clinical)
6842 ELM ST, SUITE 104
MCLEAN, VA 22101
Fairfax County (703) 790-5082
DR. JANE ANNUNZIATA VANDENBOS PSY.D.
Psychologist (Clinical)
6842 ELM ST, SUITE 104
MCLEAN, VA 22101
Fairfax County (703) 827-8268
VIRGINIA BEHAVIORAL HEALTH ASSOCIATES INC
Psychiatry & Neurology (Psychiatry)
6842 ELM ST, SUITE 103
MC LEAN, VA 22101
Fairfax County (703) 492-2924
DR. KATHLEEN MERRILY SALYER PSYCHOLOGIST, PH.D.
Psychologist (Clinical)
6842 ELM ST, STE 207
MC LEAN, VA 22101
Fairfax County (703) 734-1393
LISA TUCKER RAY LCSW
Social Worker (Clinical)
6842 ELM ST, SUITE 206
MC LEAN, VA 22101
Fairfax County (703) 400-7015

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 Kerry Malawista's NPI number?

The NPI number for Kerry Malawista is 1407395791. It was assigned to this individual provider in the NPPES registry on February 20, 2017.

Where is Kerry Malawista located?

Kerry Malawista practices at 6842 Elm St Suite 104, Mc Lean, VA 22101. The listed phone number is (703) 734-1100.

What is Kerry Malawista's specialty?

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

Is Kerry Malawista enrolled in Medicare?

No. Kerry Malawista has opted out of Medicare through April 1, 2027. 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 Kerry Malawista was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.