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LILY VICTORIA POULTER
NPI 1487457222
Social Worker - Clinical in Alexandria, VA

Active since March 28, 2025PECOS Enrolled
142 CAMBRIDGE RD, ALEXANDRIA, VA 22314(303) 887-0171 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lily Victoria Poulter NPPES

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

LILY VICTORIA POULTER (NPI 1487457222) is an individual clinical provider in Alexandria, Virginia, licensed in Virginia (0904018069) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Alexandria, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1487457222
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLILY VICTORIA POULTER
Location Address142 CAMBRIDGE RDAlexandria, VA 22314-4808
Mailing Address142 Cambridge RdAlexandria, VA 22314-4808 · (303) 887-0171
Phone(303) 887-0171
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1487457222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904018069
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.
142 CAMBRIDGE RD, Alexandria, VA 22314
Open in Google Maps ↗

Secondary Practice Location 1

Location 16210 Old Franconia Rd Unit AAlexandria, VA 22310-2529 · Phone (703) 955-3703

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lily Victoria Poulter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476033473
PECOS Enrollment IDI20260218001391
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 Lily Poulter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifebulb LLC
173 mi
Mental Health
505 MAIN ST
Toms River, NJ 08753
  • Reassigned Medicare billing, Virginia enrollment
  • 71 clinicians in this Medicare group
NPI 1699491464 (434) 944-7565

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 22314 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 Lily Poulter's NPI number?

The NPI number for Lily Poulter is 1487457222. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Lily Poulter located?

Lily Poulter practices at 142 Cambridge Rd, Alexandria, VA 22314. The listed phone number is (303) 887-0171.

What is Lily Poulter's specialty?

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

Is Lily Poulter enrolled in Medicare?

Yes. Lily Poulter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lily Poulter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Poulter reassigns Medicare benefits to Lifebulb LLC (Toms River, NJ). 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 Lily Poulter'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 Lily Poulter was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.