Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Facciola, LCSW

Individual provider Clinical Social Worker · NPI 1598873101

Kelly Facciola, LCSW is a Clinical Social Worker in Woodbridge, Virginia. Qualified in 1997, 29 years ago. Practices with Occoquan Counseling LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
29
Licensed in
VA
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12866 Harbor Dr
Woodbridge, VA 22192-2921
Phone: (703) 494-4164
Fax: (703) 563-9304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904005064 (VA)

Record details

NPI number1598873101
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESAugust 7, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Occoquan Counseling Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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