Active NPI
Lisa Alexander Haley, LCSW
- Clinical Social Worker
- Ashburn, VA
National Provider Identifier
1811312242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007438
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 32456 | MD | MD | Clinical Social Worker |
| 0904007438 | VA | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.