COURTNEY PETLEY (LCSW) – Counselor, NPI 1841672201

COURTNEY PETLEY (LCSW) is a healthcare provider. based in Chesterfield, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904006775 (VA). The NPI Number for COURTNEY PETLEY (LCSW) is 1841672201

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY PETLEY (LCSW)
NPI
1841672201
Phone
Not provided
Address
4318 BOONES BLUFF WAY
Enumeration Date
22 June 2015
Last Update Date
22 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
4688965569
Group Practice PAC ID
3072804954
Professional Enrollment ID
I20160627001927
Address ID
VA231145552MI1XXXXCIRC401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for COURTNEY PETLEY (LCSW)

  • 4318 BOONES BLUFF WAY

    CHESTERFIELD, VA 238327694

    Phone:

    Mailing address matches the actual address.

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: 2016-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160627001927IClinical Social WorkerVATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour23125$0
90791Psychiatric diagnostic evaluation1111$0
View full utilization report →

Insurance plans in this area (ZIP 23832)

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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: 3072804954View full group profile
NameSpecialtyState
Clinical PsychologistVA

Reviews

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Frequently asked questions

What is the standard ID for COURTNEY PETLEY (LCSW) in the U.S.?
In the U.S., COURTNEY PETLEY (LCSW) is identified by NPI 1841672201.
Should I treat COURTNEY PETLEY (LCSW) as an active provider?
Patients and plans typically see COURTNEY PETLEY (LCSW) as active in the national extract.
What does the directory say COURTNEY PETLEY (LCSW) does?
Insurance directories may phrase it differently, but here COURTNEY PETLEY (LCSW) maps to Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to COURTNEY PETLEY (LCSW)?
The directory associates COURTNEY PETLEY (LCSW) with Chesterfield, Virginia. Check all listed addresses for suites or satellite offices.
Who maintains COURTNEY PETLEY (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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