Individual provider Active NPI

Shelby Kienzle-Pappalardo, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1134826282
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013855 Issued in VA
Practice address
3000 Avery Point Way
Richmond, VA 23233-7879
Phone
(804) 542-4100
NPI assigned
Feb 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904013855 VA Primary

Addresses

Primary practice location

3000 Avery Point Way
Richmond, VA 23233-7879

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (804) 542-4100

Other practice location 1

10611 Patterson Ave Ste 201
Richmond, VA 23238-4733
Phone (804) 308-0118 ext. 131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250916000109 DC Practitioner - Clinical Social Worker 2062916992 Reassigns benefits to 1 organization
I20251011000492 VA Practitioner - Clinical Social Worker 2062916992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erickson Health Medical Group of Virginia, PCGroup PAC ID 1153314067, 23 clinicians

Practice addresses (Care Compare)

3000 Avery Point Way
Richmond, VA 23233-7879
Phone (804) 542-4100

7440 Spring Village Dr
Springfield, VA 22150-4446
Phone (703) 923-4644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904013855VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Health Medical Group of Virginia PC CurrentSince Sep 14, 2025 Accepting new patients
Erickson Health Medical Group of Virginia, PC CurrentSince Sep 14, 2025 Accepting new patients
Erickson Health Medical Group of Virginia PC Current Accepting new patients
Erickson Health Medical Group of Virginia, PC CurrentSince Sep 14, 2025 Accepting new patients

Locations

5525 Research Park Dr
Catonsville, MD 21228

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

21170 Ashby Ponds Blvd
Ashburn, VA 20147
Phone (571) 291-6131

7440 Spring Village Dr
Springfield, VA 22150
Phone (703) 923-4644

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1134826282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "804-542-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 AVERY POINT WAY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337879",
            "telephone_number": "804-542-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10611 Patterson Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232384733",
            "country_code": "US",
            "telephone_number": "804-308-0118 x131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIENZLE-PAPPALARDO",
        "first_name": "SHELBY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.