Individual provider Active NPI

Rebecca Hailey, LCSW

  • Clinical Social Worker
  • Leesburg, VA
National Provider Identifier
1174120547
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014535 Issued in VA
Practice address
1625 Chickasaw PL NE
Leesburg, VA 20176-6622
Phone
(703) 589-9964
NPI assigned
Oct 7, 2020
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251112001797 VA Practitioner - Clinical Social Worker 6709377377 Reassigns benefits to 1 organization

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
First Colonial Psychotherapy ServicesGroup PAC ID 2264334069, 12 clinicians

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

LicenseStateTypeSpecialty
0904014535VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
First Colonial Psychotherapy Services Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Alpha Healthcare Services and Solutions, LLC Mental Health PastSince Oct 11, 2020 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.

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

Verify at the official NPI Registry.