HOLLY JO-ANN BURLEY (LCSW) – Clinical Social Worker, NPI 1104310762
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220630003118 | I | Clinical Social Worker | VA | TBD |
| I20240416002085 | I | Clinical Social Worker | DC | TBD |
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.
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
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | CA | |
| - | VA | |
| P S Y C H I A T R Y | DC | |
| Mental Health Counselor | VA | |
| Mental Health Counselor | VA | |
| Clinical Social Worker | VA | |
| Clinical Social Worker | VA | |
| P S Y C H I A T R Y | GA | |
| Marriage And Family Therapist | VA | |
| Mental Health Counselor | VA |
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