Individual provider Active NPI

Lisa Alexander Haley, LCSW

  • Clinical Social Worker
  • Ashburn, VA
National Provider Identifier
1811312242
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007438 Issued in VA
Practice address
20130 Lakeview Center PLZ Ste 400
Ashburn, VA 20147-5905
Phone
(304) 616-1545
Fax
(207) 614-8192
NPI assigned
Feb 21, 2014
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904007438 VA Primary
Clinical Social Worker 1041C0700X 32456 MD

Addresses

Primary practice location

20130 Lakeview Center PLZ Ste 400
Ashburn, VA 20147-5905

Mailing address

2518 Appleton LN
Bowie, MD 20716-1568
Phone (304) 616-1545

Other practice location 1

150 Riverside Pkwy Ste 115
Fredericksburg, VA 22406-1094
Phone (304) 616-1545

Other names 1

  • Lisa Alexander Jenkins Former name

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
I20140514002274 VA Practitioner - Clinical Social Worker 4385867662 Practice locations: Ashburn, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

44075 Pipeline PLZ
Suite 220
Ashburn, VA 20147-5890
Phone (304) 616-1545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32456MDMDClinical Social Worker
0904007438VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1811312242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 APPLETON LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161568",
            "telephone_number": "304-616-1545",
            "fax_number": "207-614-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20130 LAKEVIEW CENTER PLZ STE 400",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475905",
            "telephone_number": "304-616-1545",
            "fax_number": "207-614-8192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Riverside Pkwy Ste 115",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224061094",
            "country_code": "US",
            "telephone_number": "304-616-1545",
            "fax_number": "207-614-8192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEY",
        "first_name": "LISA",
        "middle_name": "ALEXANDER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007438",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "32456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "JENKINS",
            "middle_name": "ALEXANDER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.