Gail Kelly, LCSW, MED

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904014470 Issued in VA

Practice address

621 W Main St
Purcellville, VA 20132-3012

Phone

(571) 420-0040

NPI assigned

Nov 15, 2022

Last updated

Nov 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1336858729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1043",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201771043",
            "telephone_number": "571-420-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323012",
            "telephone_number": "571-420-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "GAIL",
        "credential": "LCSW, MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Evan Johnson, M.D.
• Jessica Noelle Jones, LRIC
• Christine Jung
• Heather E Kavanagh, FNP-BC
• Christine Kearney Graham, BCBA
• Huda Essa Khairan, PHARMACIST
• Farrah Kielhorn
• Mary Louise Klipple
• Kaila Knight
• Kristina Koranek, LRC

• Clinical Social Worker in Purcellville, VA
• Providers in Purcellville, 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 Nov 15, 2022; 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.