EBONY NICOLE CALLOWAY LICSW
NPI 1467987974
Social Worker - Clinical in Dumfries, VA

Q: What is Ebony Calloway's NPI number?

The NPI number for Ebony Calloway is 1467987974. It was assigned to this individual provider in the NPPES registry on April 22, 2017.

Q: What is Ebony Calloway's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ebony Calloway was last updated on March 14, 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.

Active since April 22, 2017PECOS Enrolled

16712 JEFFERSON DAVIS HWY, DUMFRIES, VA 22026(703) 221-7467(703) 221-4115 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ebony Nicole Calloway Licsw NPPES

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

EBONY NICOLE CALLOWAY LICSW (NPI 1467987974) is an individual clinical provider in Dumfries, Virginia, licensed in Virginia (0904010339) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467987974

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameEBONY NICOLE CALLOWAYCredential: LICSW

Location Address16712 JEFFERSON DAVIS HWYDumfries, VA 22026-2115

Mailing Address16712 Jefferson Davis HwyDumfries, VA 22026-2115 · (703) 221-7467 · Fax (703) 221-4115

Phone(703) 221-7467

Fax(703) 221-4115

Sole ProprietorYes

Enumeration DateApril 22, 2017

Last NPPES UpdateMarch 14, 2024

NPPES CertifiedMarch 14, 2024

✔ NPI 1467987974 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 · 0904010339✔ Licensed in FL · SW12357✔ Licensed in DC · LC50080428

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.

16712 JEFFERSON DAVIS HWY, Dumfries, VA 22026

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebony Nicole Calloway Licsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22026 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 $56.19 – $170.30

Typical copayment $0.00 (range $14.04 – $42.57)

Most-billed visit code NA

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 8

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

SALLY HASKOVEC PHARMD

Pharmacist