Ebony Nicole Calloway, LICSW - Medicare Clinical Social Worker in Dumfries, VA

Ebony Nicole Calloway, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Dumfries, Virginia. Her current practice location is 16712 Jefferson Davis Hwy, Dumfries, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 221-7467.

Ebony Nicole Calloway is licensed to practice in Virginia (license number 0904010339) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467987974.

Contact Information

Ebony Nicole Calloway, LICSW
16712 Jefferson Davis Hwy,
Dumfries, VA 22026-2115
(703) 221-7467
(703) 221-4115

Map and Direction




Healthcare Provider's Profile

Full NameEbony Nicole Calloway
GenderFemale
SpecialitySocial Worker - Clinical
Location16712 Jefferson Davis Hwy, Dumfries, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467987974
  • Provider Enumeration Date: 04/22/2017
  • Last Update Date: 03/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5294002549
  • Enrollment ID: I20201112000076

Medical Identifiers

Medical identifiers for Ebony Nicole Calloway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467987974NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical SW12357 (Florida)Secondary
1041C0700XSocial Worker - Clinical LC50080428 (District Of Columbia)Secondary
1041C0700XSocial Worker - Clinical 0904010339 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ebony Nicole Calloway allows following entities to bill medicare on her behalf.
Entity NameDella Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750635207
PECOS PAC ID: 3971755000
Enrollment ID: O20121218000204

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebony Nicole Calloway is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ebony Nicole Calloway, LICSW
16712 Jefferson Davis Hwy,
Dumfries, VA 22026-2115

Ph: (703) 221-7467
Ebony Nicole Calloway, LICSW
16712 Jefferson Davis Hwy,
Dumfries, VA 22026-2115

Ph: (703) 221-7467

Reviews and Comments


Social Worker in Dumfries, VA

John Frederick Gyampoh,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 17299 Nugent Ln, Dumfries, VA 22026
Phone: 571-277-7346    
Ms. Claudia N Goodall, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025
Phone: 703-441-7570    
Tanyka Abbott, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4085 Middleton Loop Apt 203, Dumfries, VA 22025
Phone: 804-536-7232    
Mrs. Amy Bartlett Taylor, LCSW, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 17606 Main St, Suite 204, Dumfries, VA 22026
Phone: 703-583-8616    
Mrs. Rhiannon Price, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 15817 Ibsen Pl, Dumfries, VA 22025
Phone: 703-357-7577    
Angela Catherine Gilbert, LMSW, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 4282 Wiltshire Pl, Dumfries, VA 22025
Phone: 703-915-3189    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.