Individual provider Active NPI

Lois Hiemstra McKim, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
National Provider Identifier
1235238197
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001603 Issued in VA
Practice address
1450 Sachem Place
Unit 101
Charlottesville, VA 22932-2227
Phone
(434) 973-5640
Fax
(434) 973-0290
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0904001603 VA Primary

Addresses

Primary practice location

1450 Sachem Place
Unit 101
Charlottesville, VA 22932-2227

Mailing address

1450 Sachem Place
Unit 101
Charlottesville, VA 22932-2227
Phone (434) 973-5640

Other identifiers 3

IdentifierTypeStateIssuer
0904001603OtherTRICARE PRIME
8907251MedicaidVA
C9408010260OtherANTHEM

Other names 1

  • Ms. Lois Ann Hiemstra Former name

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

State licenses

LicenseStateTypeSpecialty
0904001603VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Center for Family Relations, PC Clinical PastSince Jan 5, 2018 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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235238197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SACHEM PLACE",
            "address_2": "UNIT 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229322227",
            "telephone_number": "434-973-5640",
            "fax_number": "434-973-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SACHEM PLACE",
            "address_2": "UNIT 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229322227",
            "telephone_number": "434-973-5640",
            "fax_number": "434-973-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIM",
        "first_name": "LOIS",
        "middle_name": "HIEMSTRA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PRIME",
            "identifier": "0904001603",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8907251",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "C9408010260",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOIS",
            "last_name": "HIEMSTRA",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.