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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Ebony Calloway reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Supportive Care Of Maryland LLC
33 mi
Psychologist
4409 E WEST HWY
Riverdale, MD 20737
  • Reassigned Medicare billing, District of Columbia enrollment
  • 78 clinicians in this Medicare group
NPI 1447802616 (718) 298-4375
Minuteclinic Diagnostic Of Virginia LLC
36 mi
Family
19305 RUBY DR
Leesburg, VA 20176
  • Reassigned Medicare billing, Virginia enrollment
  • 276 clinicians in this Medicare group
NPI 1417076829 (866) 389-2727
Della Behavioral Health Services
48 mi
Psychologist
9841 BROKEN LAND PKWY STE 314
Columbia, MD 21046
  • Reassigned Medicare billing, District of Columbia enrollment
  • 97 clinicians in this Medicare group
NPI 1750635207 (410) 929-7225
Supportive Care Of Virginia LLC
91 mi
Clinical
831 E ELLERSLIE AVE
Colonial Heights, VA 23834
  • Reassigned Medicare billing, Virginia enrollment
  • 35 clinicians in this Medicare group
NPI 1801485354 (718) 298-7345

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 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
16712 JEFFERSON DAVIS HWY
DUMFRIES, VA 22026
Prince William County (703) 221-7467
ABDULLAH ALSAMARAI
Pharmacy
16712 JEFFERSON DAVIS HWY
DUMFRIES, VA 22026
Prince William County (703) 221-7467
ERNEST PATRICK KAMARA PHARM.D.
Pharmacist
16712 JEFFERSON DAVIS HWY
DUMFRIES, VA 22026
Prince William County (703) 221-7467
PRISCILLA AGBALE PHARMD
Pharmacist
16712 JEFFERSON DAVIS HWY
DUMFRIES, VA 22026
Prince William County (703) 221-7467
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy
16712 JEFFERSON DAVIS HWY
DUMFRIES, VA 22026
Prince William County (703) 221-7467
JOANNE M JOHNSON LPC
Counselor (Professional)
16712 JEFFERSON DAVIS HWY
DUMFRIES, VA 22026
Prince William County (855) 417-2486
AMANDA ELAINE LANGKOP WANAT NP
Nurse Practitioner (Family)
16712 JEFFERSON DAVIS HWY
DUMFRIES, VA 22026
Prince William County (703) 221-7467
SHALEYNA HARPER
Nurse Practitioner (Family)
16712 JEFFERSON DAVIS HWY
DUMFRIES, VA 22026
Prince William County (866) 389-2727

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 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.

Where is Ebony Calloway located?

Ebony Calloway practices at 16712 Jefferson Davis Hwy, Dumfries, VA 22026. The listed phone number is (703) 221-7467.

What is Ebony Calloway's specialty?

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

Is Ebony Calloway enrolled in Medicare?

Yes. Ebony Calloway is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ebony Calloway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Calloway reassigns Medicare benefits to 4 organizations: Supportive Care Of Maryland LLC (Riverdale, MD), Minuteclinic Diagnostic Of Virginia LLC (Leesburg, VA), Della Behavioral Health Services (Columbia, MD) and Supportive Care Of Virginia LLC (Colonial Heights, VA). 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 Ebony Calloway'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 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.