Kristen Macneill Kern, LCSW
Individual provider Active NPI Clinical Social Worker · Ruckersville, VA
NPI 1245970425 · NPPES record last updated Feb 29, 2024
Key facts
- NPI
- 1245970425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904010090 (VA)
- Practice address
- 8767 Seminole TRL Ste 101
Ruckersville, VA 22968-3494 - Phone
- (434) 990-1744
- Fax
- (434) 939-9401
- NPI assigned
- Mar 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Life Works Professional Counseling, PLLC
Practice addresses (Care Compare)
8767 Seminole TRL
Suite 101
Ruckersville, VA 22968-3494
Phone (434) 990-1744
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220411000392 | VA | Practitioner - Clinical Social Worker | 6305232802 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904010090 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Works Professional Counseling, PLLC | Mental Health | Current |
Accepting new patients |
Locations
8767 Seminole Trl
Ste 101
Ruckersville, VA 22968
Phone (434) 985-6909
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Professional Counselor |
101YP2500X | |||
| Clinical Social Worker | 1041C0700X | 0904010090 | VA | Yes |
Addresses
Primary practice location
8767 Seminole TRL Ste 101
Ruckersville, VA 22968-3494
Mailing address
2490 Spring Brook Dr
Charlottesville, VA 22901-8996
Other providers in Ruckersville, VA
- Imperial Blue Medical LLC
- Ivyrehab Sept, LLC
- Nathan William Jones
- Amy Kennel
- Jessica Nicole Kenty
- Kibler Hand Therapy, LLC
- Rodney Dale Kibler
- KKCL Healthcare LLC
- William T Laffond
- Pamela Lamb
All providers in Ruckersville, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.