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RANDALL WAYNE DRURY LCSW
NPI 1720816390
Social Worker - Clinical in Fairfax, VA

Active since July 24, 2024PECOS EnrolledAccepts Medicare Assignment
11166 FAIRFAX BLVD STE 500, FAIRFAX, VA 22030(571) 412-1002 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 27, 2025, Jul 24, 2024 (2 updates tracked since 2024).

About Randall Wayne Drury Lcsw NPPES

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

RANDALL WAYNE DRURY LCSW (NPI 1720816390) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904017141) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fairfax, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720816390
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRANDALL WAYNE DRURYCredential: LCSW
Location Address11166 FAIRFAX BLVD STE 500Fairfax, VA 22030-5017
Mailing Address8221 Willow Oaks Corporate DrFairfax, VA 22031-4512 · (703) 207-7828
Phone(571) 412-1002
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 24, 2024
Last NPPES UpdateJune 25, 20262 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1720816390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904017141
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.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 0904017141 (VA)
11166 FAIRFAX BLVD STE 500, Fairfax, VA 22030
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Secondary Practice Location 1

Location 18221 Willow Oaks Corporate DrFairfax, VA 22031-4512 · Phone (571) 412-1002

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

Randall Wayne Drury 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 ID3375081409
PECOS Enrollment IDI20240820001745
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 Randall Drury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairfax County, Virginia
1.8 mi
Mental Health (Including Community Mental Health Center)
12011 GOVERNMENT CENTER PARKWAY, SUITE 836
Fairfax, VA 22035
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Director Of Finance-County Of Fairfax Va
  • 383 clinicians in this Medicare group
NPI 1154356244 (703) 324-7000

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 22030 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.

Other Providers at the Same Location NPPES 17

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

RITECHOICE HOME HEALTHCARE LLC
Home Health
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
Fairfax City (571) 777-1745
HIGHER FUNCTIONING BEHAVIORAL HEALTH SERVICES PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
Fairfax City (571) 445-0441
RACHEL COULTER FNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
Fairfax City (703) 261-4247
THE ASHEZ DME GROUP LLC
Durable Medical Equipment & Medical Supplies
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
Fairfax City (703) 672-3852
DR. CHAD MICHAEL STILES PHD
Marriage & Family Therapist
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
Fairfax City (304) 576-5792
VIRIDIANA FUENTES ROSALES FNP-C
Nurse Practitioner (Family)
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
Fairfax City (703) 688-8426
FORTIS HEALTHCARE SERVICES. INC
In Home Supportive Care
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
Fairfax City (240) 353-1275
OLUDARE EWETUSA PTA
Physical Therapy Assistant
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
Fairfax City (571) 464-0961

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 Randall Drury's NPI number?

The NPI number for Randall Drury is 1720816390. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Randall Drury located?

Randall Drury practices at 11166 Fairfax Blvd Ste 500, Fairfax, VA 22030. The listed phone number is (571) 412-1002.

What is Randall Drury's specialty?

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

Is Randall Drury enrolled in Medicare?

Yes. Randall Drury 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 Randall Drury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Drury reassigns Medicare benefits to Fairfax County, Virginia (Fairfax, 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 Randall Drury'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 Randall Drury was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.