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LISA JACKSON-WARDLAW LCSW
NPI 1427404599
Social Worker - Clinical in Chantilly, VA

Active since May 09, 2016PECOS Enrolled
13503 LEE JACKSON MEMORIAL HWY, CHANTILLY, VA 20151(571) 730-7743 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2023, Aug 19, 2019, Sep 26, 2018 and 2 more (5 updates tracked since 2016).

About Lisa Jackson-wardlaw Lcsw NPPES

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

LISA JACKSON-WARDLAW LCSW (NPI 1427404599) is an individual clinical provider in Chantilly, Virginia, licensed in Virginia (0904010532) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427404599
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA JACKSON-WARDLAWCredential: LCSW
Location Address13503 LEE JACKSON MEMORIAL HWYChantilly, VA 20151-3401
Mailing Address13503 Lee Jackson Memorial HwyChantilly, VA 20151-3401 · (571) 970-8093
Phone(571) 730-7743
Sole ProprietorYes
Enumeration DateMay 9, 2016
Last NPPES UpdateJuly 21, 20235 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
✔ NPI 1427404599 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 · 0904010532✔ Licensed in LA · 17963✔ Licensed in OR · L14171
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.
13503 LEE JACKSON MEMORIAL HWY, Chantilly, VA 20151
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Jackson-wardlaw Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Jackson-wardlaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Loudoun Community Health Center
5.4 mi
Federally Qualified Health Center (FQHC)
1141 ELDEN STREET, THIRD FLOOR
Herndon, VA 20170
  • Reassigned Medicare billing, Virginia enrollment
  • 20 clinicians in this Medicare group
NPI 1629325758 (703) 481-8160
Mental Health Specialty Group PA
216 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Oregon enrollment
  • 60 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 Lisa Jackson-wardlaw's NPI number?

The NPI number for Lisa Jackson-wardlaw is 1427404599. It was assigned to this individual provider in the NPPES registry on May 9, 2016.

Where is Lisa Jackson-wardlaw located?

Lisa Jackson-wardlaw practices at 13503 Lee Jackson Memorial Hwy, Chantilly, VA 20151. The listed phone number is (571) 730-7743.

What is Lisa Jackson-wardlaw's specialty?

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

Is Lisa Jackson-wardlaw enrolled in Medicare?

Yes. Lisa Jackson-wardlaw is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Jackson-wardlaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Jackson-wardlaw reassigns Medicare benefits to 2 organizations: Loudoun Community Health Center (Herndon, VA) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Jackson-wardlaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Jackson-wardlaw accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare and HMO Louisiana list Lisa Jackson-wardlaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Jackson-wardlaw was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.