Individual provider · Type 1 NPI

Kelly W. Headley, LCSW

Clinical Social Worker · Ashburn, VA

NPI number 1104363282 Active

Practice location

20110 Ashbrook Pl Ste 275
Ashburn, VA 20147-5065

Call (571) 306-3038 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904008804 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104363282

Kelly W. Headley, LCSW's National Provider Identifier is 1104363282, issued on Jan 26, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ashburn, VA. The record was last updated on Jul 29, 2025.