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KELLIE HOLTZCLAW LCSW
NPI 1427835362
Social Worker in Abingdon, VA

Active since September 13, 2023PECOS EnrolledAccepts Medicare Assignment
610 CAMPUS DR, ABINGDON, VA 24210(276) 525-1550(276) 525-1609 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kellie Holtzclaw Lcsw NPPES

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

KELLIE HOLTZCLAW LCSW (NPI 1427835362) is an individual social worker in Abingdon, Virginia, licensed in Virginia (0904015759) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1427835362
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELLIE HOLTZCLAWCredential: LCSW
Location Address610 CAMPUS DRAbingdon, VA 24210-2589
Mailing Address610 Campus DrAbingdon, VA 24210-2589 · (276) 525-1550 · Fax (276) 525-1609
Phone(276) 525-1550
Fax(276) 525-1609
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 13, 2023
Last NPPES UpdateMay 15, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1427835362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in VA · 0904015759
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
610 CAMPUS DR, Abingdon, VA 24210
Open in Google Maps ↗

Other Names 1

Former Name (1)Kellie Adams Lcsw

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kellie Holtzclaw 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 ID8426599945
PECOS Enrollment IDI20240924000862
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 Reassignment

Medicare enrollment records show Kellie Holtzclaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Highlands Community Services
Same address
Community/Behavioral Health
610 CAMPUS DR, SUITE 210
Abingdon, VA 24210
  • Reassigned Medicare billing, Virginia enrollment
  • 48 clinicians in this Medicare group
NPI 1396774147 (276) 525-1587

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

Other Providers at the Same Location NPPES 20

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

FRANKLIN R BALL LPN
Licensed Practical Nurse
610 CAMPUS DR
ABINGDON, VA 24210
Washington County (276) 525-1587
LYNN HEATH RASNAKE LCSW
Social Worker (Clinical)
610 CAMPUS DR
ABINGDON, VA 24210
Washington County (276) 525-1587
MATTHEW VINCENT VERLANDER LCSW
Social Worker (Clinical)
610 CAMPUS DR
ABINGDON, VA 24210
Washington County (276) 525-1550
MARTHA NIMMO LCSW
Social Worker (Clinical)
610 CAMPUS DR
ABINGDON, VA 24210
Washington County (276) 525-1550
KAYLYN RILEY PROCTOR LCSW
Social Worker (Clinical)
610 CAMPUS DR
ABINGDON, VA 24210
Washington County (276) 525-1550
WESLEY LEUZINGER LPC
Counselor (Professional)
610 CAMPUS DR
ABINGDON, VA 24210
Washington County (276) 525-1550
MRS. KANDACE LEANNE MILLER PHILLIPS BS CSAC
Counselor (Addiction (Substance Use Disorder))
610 CAMPUS DR
ABINGDON, VA 24210
Washington County (276) 525-1550
LORRI STILES LPC
Counselor (Professional)
610 CAMPUS DR
ABINGDON, VA 24210
Washington County (276) 525-1550

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 Kellie Holtzclaw's NPI number?

The NPI number for Kellie Holtzclaw is 1427835362. It was assigned to this individual provider in the NPPES registry on September 13, 2023. The provider is also known as Kellie Adams Lcsw.

Where is Kellie Holtzclaw located?

Kellie Holtzclaw practices at 610 Campus Dr, Abingdon, VA 24210. The listed phone number is (276) 525-1550.

What is Kellie Holtzclaw's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kellie Holtzclaw enrolled in Medicare?

Yes. Kellie Holtzclaw 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.

Which organization bills Medicare for Kellie Holtzclaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Holtzclaw reassigns Medicare benefits to Highlands Community Services (Abingdon, VA). The 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 Kellie Holtzclaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kellie Holtzclaw was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.