KELLI ANN ROBERTSON LCSW
NPI 1548780786
Social Worker - Clinical in Mc Lean, VA
About Kelli Ann Robertson Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI ANN ROBERTSON LCSW (NPI 1548780786) is an individual clinical provider in Mc Lean, Virginia, licensed in Virginia (0904009047) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Kelli Ann Robertson 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelli Robertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlottesville, VA 22902
- Reassigned Medicare billing, Virginia enrollment
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 22102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MC LEAN, VA 22102
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 Kelli Robertson's NPI number?
The NPI number for Kelli Robertson is 1548780786. It was assigned to this individual provider in the NPPES registry on June 20, 2017.
Where is Kelli Robertson located?
Kelli Robertson practices at 1761 Old Meadow Rd, Mc Lean, VA 22102. The listed phone number is (703) 531-6334.
What is Kelli Robertson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kelli Robertson enrolled in Medicare?
Yes. Kelli Robertson 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 Kelli Robertson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Robertson reassigns Medicare benefits to Resilient Minds Of Charlottesville (Charlottesville, 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 Kelli Robertson'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 Kelli Robertson was last updated on June 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kelli Ann Robertson, LCSW · NPI 1548780786
Clinical provider in Mc Lean, Virginia. Individual provider, active in the CMS NPPES registry since June 20, 2017.
## Identity
- **NPI:** 1548780786 (Entity type: Individual)
- **Enumerated:** June 20, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 0904009047 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1761 OLD MEADOW RD, Mc Lean, VA 22102-4315
- **Phone:** (703) 531-6334
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Resilient Minds Of Charlottesville (NPI 1083302533, Charlottesville, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 20, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1548780786) · Data from the CMS NPPES public registry.