Kelly L Facciola (NPI# 1598873101, PAC ID# 5991872194) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1598873101 |
| PAC ID by PECOS | 5991872194 |
| Professional Enrollment ID | I20080929000711 |
| Full Name | Kelly L Facciola |
| Address |
12866 Harbor Dr Woodbridge VA 22192-2921 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12866 Harbor Dr, Woodbridge, VA 22192-2921 |
| Street Address |
12866 HARBOR DR |
| City | WOODBRIDGE |
| State | VA |
| Zip | 22192-2921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter A Mendel | Family Medicine | Family Medicine of Lake Ridge PC | 3401 Commission Ct, Suite 201, Woodbridge, VA 22192-1771 |
| John James Wierzbicki | Family Medicine | Family Medicine of Lake Ridge PC | 3401 Commission Ct, Suite 201, Woodbridge, VA 22192-1771 |
| Julie D Oglesby | Nurse Practitioner | Family Medicine of Lake Ridge PC | 3401 Commission Ct, Suite 201, Woodbridge, VA 22192-1771 |
| Christian Lavenia | Nurse Practitioner | Rahel G. Yirga Md PC | 12185 Clipper Dr, Lake Ridge, VA 22192-2236 |
| Phuong Xuan Mai | Internal Medicine | 12191 Clipper Dr, Lake Ridge, VA 22192-2237 | |
| Oluwaseyi Bolaji Bolorunduro | Cardiovascular Disease (cardiology) | Nova Cardiovascular Care LLC Nvcc | 1990 Old Bridge Rd, Suite 201, Woodbridge, VA 22192-2383 |
| Amy Friedenthal | Internal Medicine | 12512 D Lake Ridge Dr, Woodbridge, VA 22192-2386 | |
| Abucar A Abdulle | Internal Medicine | 12761 Darby Brook Ct, Suite 101, Woodbridge, VA 22192-2405 | |
| Jaime L Parker | Clinical Social Worker | Woodbridge Therapy Group LLC | 12721 Darby Brook Ct, Suite 102, Woodbridge, VA 22192-2408 |
| Hemini P Naik | Psychologist, Clinical | Woodbridge Therapy Group LLC | 12721 Darby Brook Ct, Suite 102, Woodbridge, VA 22192-2408 |
| Find all physicians in zip 22192 | |||
| City | WOODBRIDGE |
| Zip Code | 22192 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | WOODBRIDGE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Kelly L Facciola.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.