Active NPI
Rebecca Hailey, LCSW
- Clinical Social Worker
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904014535
- Practice address
- 1625 Chickasaw PL NE
Leesburg, VA 20176-6622 - Phone
- (703) 589-9964
- NPI assigned
- Oct 7, 2020
- Last updated
- Oct 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904014535 | VA | Primary |
Addresses
Primary practice location
1625 Chickasaw PL NE
Leesburg, VA 20176-6622
Mailing address
2137 Tall Pines BND
Virginia Beach, VA 23456-3953
Other practice location 1
1232 Perimeter Pkwy Ste 206
Virginia Beach, VA 23454-5924
Phone (757) 428-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1232 Perimeter Pkwy
Suite 206
Virginia Beach, VA 23454-5924
Phone 75742875000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904014535 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Colonial Psychotherapy Services | Mental Health | Current | Accepting new patients |
| Alpha Healthcare Services and Solutions, LLC | Mental Health | Past | Accepting new patients |
Locations
1232 Perimeter Pkwy
Ste 206
Virginia Beach, VA 23454
Phone (757) 428-7500
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Virginia Beach, VA
- NPI 1336294479
-
dba alphatelemed.com
- Psychiatric/Mental Health Nurse Practitioner
- Sterling, VA
- NPI 1295393791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1174120547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2137 TALL PINES BND",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234563953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 CHICKASAW PL NE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201766622",
"telephone_number": "703-589-9964"
}
],
"practiceLocations": [
{
"address_1": "1232 Perimeter Pkwy Ste 206",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234545924",
"country_code": "US",
"telephone_number": "757-428-7500",
"fax_number": "757-428-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAILEY",
"first_name": "REBECCA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-07",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904014535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.