Kelly Facciola, LCSW in Woodbridge, VA - Medicare Clinical Social Worker Provider

Kelly Facciola, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Woodbridge, Virginia. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Occoquan Counseling Llc and her current practice location is 12866 Harbor Dr, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 494-4164.

Kelly Facciola is licensed to practice in Virginia (license number 0904005064) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598873101.

Contact Information

	Kelly Facciola, LCSW
	12866 Harbor Dr, Woodbridge, VA 22192-2921
	(703) 494-4164
	(703) 563-9304

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Facciola
Gender	Female
Speciality	Clinical Social Worker
Experience	27 Years
Location	12866 Harbor Dr, Woodbridge, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Facciola graduated from medical school in 1997

NPI Data:

NPI Number: 1598873101
Provider Enumeration Date: 08/25/2006
Last Update Date: 08/07/2019

Medicare PECOS Information:

PECOS PAC ID: 5991872194
Enrollment ID: I20080929000711

Medical Identifiers

Medical identifiers for Kelly Facciola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598873101	NPI	-	NPPES
010023700	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904005064 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Occoquan Counseling Llc	0446327647	2

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. Kelly Facciola allows following entities to bill medicare on her behalf.

Entity Name	Occoquan Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780834911 PECOS PAC ID: 0446327647 Enrollment ID: O20080929000715

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. Kelly Facciola 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 Address	Practice Location Address
Kelly Facciola, LCSW 12866 Harbor Dr, Woodbridge, VA 22192-2921 Ph: (703) 203-7535	Kelly Facciola, LCSW 12866 Harbor Dr, Woodbridge, VA 22192-2921 Ph: (703) 494-4164

Reviews and Comments

Social Worker in Woodbridge, VA

Ana-alicia Farrar Brown, LICSW, LCSW, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Neabsco Common Place Suite 101, Woodbridge, VA 22191 Phone: 571-412-1006
Ms. Pamela Jean Royalty, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14450 Smoketown Rd, Woodbridge Behavioral Health Clinic, Woodbridge, VA 22192 Phone: 703-551-4720
Rose Desdunes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14497 Potomac Mills Rd # 1257, Woodbridge, VA 22192 Phone: 571-285-2707
Kathleen Elizabeth Burch, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 Prince William Pkwy Ste 301, Woodbridge, VA 22192 Phone: 703-688-8541
Ms. Mary Mischtschuk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12721 Darby Brook Ct Ste 102, Woodbridge, VA 22192 Phone: 703-879-5144 Fax: 703-879-5860
Jacqueline Rodriguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4379 Ridgewood Center Dr, Suite 4013, Woodbridge, VA 22192 Phone: 703-680-7950 Fax: 703-680-7953
Karlisha J Lattibeaudere, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15941 Donald Curtis Dr Ste 200, Woodbridge, VA 22191 Phone: 703-792-7800 Fax: 703-792-5699

Kelly Facciola, LCSW - Medicare Clinical Social Worker in Woodbridge, VA