Lisa Jackson-wardlaw, LCSW in Chantilly, VA - Medicare Social Worker Provider

Lisa Jackson-wardlaw, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Chantilly, Virginia. Her current practice location is 13503 Lee Jackson Memorial Hwy, Chantilly, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 730-7743.

Lisa Jackson-wardlaw is licensed to practice in Virginia (license number 0904010532) 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 1427404599.

Contact Information

	Lisa Jackson-wardlaw, LCSW
	13503 Lee Jackson Memorial Hwy, Chantilly, VA 20151-3401
	(571) 730-7743
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Jackson-wardlaw
Gender	Female
Speciality	Social Worker - Clinical
Location	13503 Lee Jackson Memorial Hwy, Chantilly, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427404599
Provider Enumeration Date: 05/09/2016
Last Update Date: 07/21/2023

Medicare PECOS Information:

PECOS PAC ID: 3173956240
Enrollment ID: I20191203001636

Medical Identifiers

Medical identifiers for Lisa Jackson-wardlaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427404599	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	17963 (Louisiana)	Secondary
1041C0700X	Social Worker - Clinical	L14171 (Oregon)	Secondary
1041C0700X	Social Worker - Clinical	0904010532 (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. Lisa Jackson-wardlaw allows following entities to bill medicare on her behalf.

Entity Name	Loudoun Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629109806 PECOS PAC ID: 5193822930 Enrollment ID: O20070514000106

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. Lisa Jackson-wardlaw 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
Lisa Jackson-wardlaw, LCSW 13503 Lee Jackson Memorial Hwy, Chantilly, VA 20151-3401 Ph: (571) 970-8093	Lisa Jackson-wardlaw, LCSW 13503 Lee Jackson Memorial Hwy, Chantilly, VA 20151-3401 Ph: (571) 730-7743

Reviews and Comments

Social Worker in Chantilly, VA

Shannon Lee, MSW,LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4229 Lafayette Center Dr, Suite 1200, Chantilly, VA 20151 Phone: 571-274-0914
Holly Jo-ann Burley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4213 Walney Rd, Chantilly, VA 20151 Phone: 703-502-7009
Ms. Mary Chilcutt, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14150 Parkeast Cir Ste 200, Chantilly, VA 20151 Phone: 703-968-4037 Fax: 703-263-1724
Nicole Marshall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14225 Sullyfield Cir Ste A, Chantilly, VA 20151 Phone: 703-263-0215
Kathleen Kelly, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4211 Walney Rd, Chantilly, VA 20151 Phone: 703-227-7100
Andrea Renee Richardson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14150 Parkeast Cir, Chantilly, VA 20151 Phone: 571-521-9875
Ms. Laurene Ann Warhol, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13784 Marsden Ct, Chantilly, VA 20151 Phone: 703-817-1262

Lisa Jackson-wardlaw, LCSW - Medicare Clinical Social Worker in Chantilly, VA