Individual provider Active NPI

Melissa Marie Kirkpatrick, MSW, LGSW, CSOTP

  • Social Worker
  • Woodbridge, VA
National Provider Identifier
1114899275
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LG200004330 Issued in DC
Practice address
13000 Harbor Center Dr
Woodbridge, VA 22192-2846
Phone
(703) 492-2994
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 0906016928 VA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0812000958 VA
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X LG200004330 DC Primary

Addresses

Primary practice location

13000 Harbor Center Dr
Woodbridge, VA 22192-2846

Mailing address

1443 Rock Spring Rd Unit 259
Bel Air, MD 21014-1920
Phone (301) 327-6007

Other practice location 1

1423 Powhatan St Ste 3
Alexandria, VA 22314-1389
Phone (703) 838-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LG200004330DCMDSocial Worker
0906016928VAMDSocial Worker
0812000958VAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1114899275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 ROCK SPRING RD UNIT 259",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210141920",
            "telephone_number": "301-327-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 HARBOR CENTER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922846",
            "telephone_number": "703-492-2994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1423 Powhatan St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223141389",
            "country_code": "US",
            "telephone_number": "703-838-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "MSW, LGSW, CSOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0906016928",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0812000958",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG200004330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.