Francis Kulesa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013812 Issued in VA

Practice address

7630 Little River Tpke
Annandale, VA 22003-2643

Phone

(833) 698-4357

NPI assigned

Jun 17, 2022

Reactivated

Mar 21, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1194455527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 SEMINARY RD APT 301N",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220415102",
            "telephone_number": "571-353-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 LITTLE RIVER TPKE",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032643",
            "telephone_number": "833-698-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULESA",
        "first_name": "FRANCIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-03-21",
        "certification_date": "2022-06-17",
        "deactivation_date": "2024-01-30",
        "reactivation_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://npiregistry.cms.hhs.gov/registry/provider-view/1659978914",
            "affiliation": "Y",
            "endpointDescription": "Envision Counseling NPI",
            "affiliationName": "Envision Counseling, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7630 Little River Tpke",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220032643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Neethu Kuruvilla, MS OTR/L
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• Clinical Social Worker in Annandale, VA
• Providers in Annandale, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.