Individual provider Active NPI

Keri M Williams, LCSW

  • Clinical Social Worker
  • MC Lean, VA
National Provider Identifier
1497993752
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006926 Issued in VA
Practice address
6845 Elm St Ste 710
MC Lean, VA 22101-3851
Phone
(703) 848-8515
Fax
(703) 848-8515
NPI assigned
Jan 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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 0904006926 VA Primary

Addresses

Primary practice location

6845 Elm St Ste 710
MC Lean, VA 22101-3851

Mailing address

6845 Elm St Ste 710
MC Lean, VA 22101-3851
Phone (703) 848-8515

Other practice location 1

8001 Forbes Pl
#200
Springfield, VA 22151-2208
Phone (703) 321-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090922000572 DC Practitioner - Clinical Social Worker 3971659681 Reassigns benefits to 1 organization
I20130525000002 VA Practitioner - Clinical Social Worker 3971659681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904006926VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 31, 2013 Accepting new patients

Locations

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

3020 Javier Rd
Fairfax, VA 22031
Phone (703) 289-7569

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

6845 Elm St
Ste 710
McLean, VA 22101
Phone (703) 848-8500

8001 Forbes Pl
Ste 200
Springfield, VA 22151
Phone (703) 321-2502

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1497993752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 ELM ST STE 710",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013851",
            "telephone_number": "703-848-8515",
            "fax_number": "703-848-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM ST STE 710",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013851",
            "telephone_number": "703-848-8515",
            "fax_number": "703-848-8515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 Forbes Pl",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221512208",
            "country_code": "US",
            "telephone_number": "703-321-2600",
            "fax_number": "703-321-2603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KERI",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-25",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.