Active NPI
Kay Frances Homer, R.N., L.C.S.W.
- Clinical Social Worker
- Fort Belvoir, VA
National Provider Identifier
1215169503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904005974
- Practice address
- Adolescent Psychiatric Partial Hospital Program C/a MH
Fort Belvoir, VA 22060-5944 - Phone
- (703) 545-6700
- NPI assigned
- Aug 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904005974 | VA | Primary |
| Registered Nurse | 163W00000X | 0001139683 | VA |
Addresses
Primary practice location
Adolescent Psychiatric Partial Hospital Program C/a MH
Fort Belvoir, VA 22060-5944
Mailing address
PO Box 714
Occoquan, VA 22125-0714
Phone (703) 494-3452
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)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904005974 | VA | MD | Clinical Social Worker |
| 0001139683 | VA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological and Life Skills Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Woodbridge, VA
- NPI 1619066727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1215169503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 714",
"city": "OCCOQUAN",
"state": "VA",
"postal_code": "221250714",
"telephone_number": "703-494-3452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ADOLESCENT PSYCHIATRIC PARTIAL HOSPITAL PROGRAM C/A MH",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220605944",
"telephone_number": "703-545-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMER",
"first_name": "KAY",
"middle_name": "FRANCES",
"name_prefix": "Ms.",
"credential": "R.N., L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904005974",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001139683",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.