HOLLY JO-ANN BURLEY (LCSW) – Clinical Social Worker, NPI 1104310762

HOLLY JO-ANN BURLEY (LCSW) is a healthcare provider. based in Fairfax, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904013678 (VA). The NPI Number for HOLLY JO-ANN BURLEY (LCSW) is 1104310762

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY JO-ANN BURLEY (LCSW)
NPI
1104310762
Phone
(703) 383-8500
Address
10520 Judicial Dr
Enumeration Date
18 June 2018
Last Update Date
9 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037715155
Graduation Year
2011 (15 years ago)
PAC ID
2163802547
Group Practice PAC ID
8426039959
Professional Enrollment ID
I20220630003118
Address ID
VA201764544LE102XXNEXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for HOLLY JO-ANN BURLEY (LCSW)

  • 10520 Judicial Dr

    Fairfax, VA 220305115

    Phone: (703) 383-8500

    Type: Location

  • 8221 Willow Oaks Corporate Dr

    Fairfax, VA 220314512

    Phone: (703) 383-8500

    Type: Location

  • Heritage Way Northeast, Shenandoah Square, Leesburg, Loudoun County, Virginia, 20176, United States

    LEESBURG, VA 201764544

    Phone: (703) 771-5100

    Fax: (703) 777-0170

    Type: Mailing

  • 4213 WALNEY RD

    CHANTILLY, VA 201512923

    Phone: (703) 502-7009

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220630003118IClinical Social WorkerVATBD
I20240416002085IClinical Social WorkerDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426039959View full group profile
NameSpecialtyState
Clinical Social WorkerCA
-VA
P S Y C H I A T R YDC
Mental Health CounselorVA
Mental Health CounselorVA
Clinical Social WorkerVA
Clinical Social WorkerVA
P S Y C H I A T R YGA
Marriage And Family TherapistVA
Mental Health CounselorVA

Reviews

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Frequently asked questions

Does HOLLY JO-ANN BURLEY (LCSW) have a public NPI I can cite?
Public records show HOLLY JO-ANN BURLEY (LCSW) under NPI 1104310762.
Quick check: is HOLLY JO-ANN BURLEY (LCSW) active?
Public NPPES data shows HOLLY JO-ANN BURLEY (LCSW) with an active NPI status right now.
Which specialty label fits HOLLY JO-ANN BURLEY (LCSW)?
NPPES ties HOLLY JO-ANN BURLEY (LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to HOLLY JO-ANN BURLEY (LCSW)?
HOLLY JO-ANN BURLEY (LCSW) is associated with Fairfax, Virginia in the same public data insurers reference.
Can I export HOLLY JO-ANN BURLEY (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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