Individual provider Active NPI

Kay Frances Homer, R.N., L.C.S.W.

  • Clinical Social Worker
  • Fort Belvoir, VA
National Provider Identifier
1215169503
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005974 Issued in VA
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

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0904005974VAMDClinical Social Worker
0001139683VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological and Life Skills Associates, P.C. PastSince Aug 27, 2013 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.

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.

Verify at the official NPI Registry.