MS. HENRIETTE KELLUM LCSW
NPI 1841484342
Social Worker - Clinical in Arlington, VA

Active since August 29, 2007Opted out of Medicare · through Jul 1, 2028
3033 WILSON BLVD, ARLINGTON, VA 22201(703) 228-1753 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Ms. Henriette Kellum Lcsw NPPES

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

MS. HENRIETTE KELLUM LCSW (NPI 1841484342) is an individual clinical provider in Arlington, Virginia, licensed in Virginia (0904000470) and active in the NPI registry since August 2007. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841484342
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. HENRIETTE KELLUMCredential: LCSW
Location Address3033 WILSON BLVDArlington, VA 22201-3843
Mailing Address3033 Wilson BlvdArlington, VA 22201-3843 · (703) 228-1753
Sole ProprietorNo
Enumeration DateAugust 29, 2007
✔ NPI 1841484342 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 · 0904000470
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.
3033 WILSON BLVD, Arlington, VA 22201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Henriette Kellum Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2012 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2012
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22201 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 11

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

Dentist (Dental Public Health)
3033 WILSON BLVD, 200A
ARLINGTON, VA 22201
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3033 WILSON BLVD, SUITE 500B
ARLINGTON, VA 22201
Clinic/Center (Physical Therapy)
3033 WILSON BLVD, SUITE 600B
ARLINGTON, VA 22201
Community/Behavioral Health
3033 WILSON BLVD
ARLINGTON, VA 22201
Pediatrics
3033 WILSON BLVD, SUITE 600B
ARLINGTON, VA 22201
Nurse Practitioner (Women's Health)
3033 WILSON BLVD
ARLINGTON, VA 22201
Psychologist (Clinical)
3033 WILSON BLVD, ARLINGTON COUNTY DHS
ARLINGTON, VA 22201
Public Health or Welfare
3033 WILSON BLVD, SUITE 600B
ARLINGTON, VA 22201

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 Henriette Kellum's NPI number?

The NPI number for Henriette Kellum is 1841484342. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Henriette Kellum located?

Henriette Kellum practices at 3033 Wilson Blvd, Arlington, VA 22201. The listed phone number is (703) 228-1753.

What is Henriette Kellum's specialty?

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

Is Henriette Kellum enrolled in Medicare?

No. Henriette Kellum has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Henriette Kellum was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.