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KELLY FACCIOLA LCSW
NPI 1598873101
Social Worker - Clinical in Woodbridge, VA

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
12866 HARBOR DR, WOODBRIDGE, VA 22192(703) 494-4164(703) 563-9304 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Facciola Lcsw NPPES

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

KELLY FACCIOLA LCSW (NPI 1598873101) is an individual clinical provider in Woodbridge, Virginia, licensed in Virginia (0904005064) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1598873101
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY FACCIOLACredential: LCSW
Location Address12866 HARBOR DRWoodbridge, VA 22192-2921
Mailing Address12866 Harbor DrWoodbridge, VA 22192-2921 · (703) 203-7535 · Fax (703) 563-9304
Phone(703) 494-4164
Fax(703) 563-9304
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 25, 2006
Last NPPES UpdateAugust 7, 2019
✔ NPI 1598873101 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 · 0904005064
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.
12866 HARBOR DR, Woodbridge, VA 22192
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Other Identifiers 1

Medicaid010023700VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Facciola 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 ID5991872194
PECOS Enrollment IDI20080929000711
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 22192 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 6

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

ONENESS PRACTICE LLC
Counselor (Mental Health)
12866 HARBOR DR
WOODBRIDGE, VA 22192
Prince William County (703) 829-0818
MEGHAN PATRICIA BAGLIO MSW
Social Worker
12866 HARBOR DR
WOODBRIDGE, VA 22192
Prince William County (703) 508-2967
MARGARET W BECKER LCSW,CSAC
Counselor (Addiction (Substance Use Disorder))
12866 HARBOR DR
LAKE RIDGE, VA 22192
Prince William County (703) 927-2915
NI HSIEH LPC
Counselor (Professional)
12866 HARBOR DR
WOODBRIDGE, VA 22192
Prince William County (703) 829-0818
OCCOQUAN COUNSELING, LLC
Social Worker (Clinical)
12866 HARBOR DR
WOODBRIDGE, VA 22192
Prince William County (703) 494-4164
MRS. MARY ELIZABETH (BETS) BYRNE L.C.S.W.
Social Worker (Clinical)
12866 HARBOR DR
WOODBRIDGE, VA 22192
Prince William County (703) 490-3346

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 Kelly Facciola's NPI number?

The NPI number for Kelly Facciola is 1598873101. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Kelly Facciola located?

Kelly Facciola practices at 12866 Harbor Dr, Woodbridge, VA 22192. The listed phone number is (703) 494-4164.

What is Kelly Facciola's specialty?

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

Is Kelly Facciola enrolled in Medicare?

Yes. Kelly Facciola 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.

When was this NPI record last updated?

The NPPES record for Kelly Facciola was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.