Active NPI
Richard B Kirk, MSW LCSW
- Social Worker
- Kingsport, TN
National Provider Identifier
1285647305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW617
- Practice address
- 1570 Waverly Rd
Holston Counseling Services
Kingsport, TN 37664 - Phone
- (423) 224-1300
- Fax
- (423) 224-1375
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW617 | TN | Primary |
| Clinical Social Worker | 1041C0700X | LCSW617 | TN |
Addresses
Primary practice location
1570 Waverly Rd
Holston Counseling Services
Kingsport, TN 37664
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089854 | Other | ANTHEM PREF TRIGON | |
| 0096965 | Other | MAGELLAN NAVIGATOR | |
| 13052 | Other | UBH HEALTHPLAN | |
| 334969 | Other | VALUE OPTIONS | |
| 3920015 | Medicaid | TN | |
| 089854 | Other | ANTHEM PROF TRIGON | |
| 0096965 | Other | MAGELLAN PINNACLE | |
| 0096965 | Other | MAGELLAN SUMMIT | |
| 3920247 | Medicaid | TN |
Other names 1
- Richard B Kirk
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW617 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1285647305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9054",
"city": "GRAY",
"state": "TN",
"postal_code": "376159054",
"telephone_number": "423-467-3600",
"fax_number": "423-467-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 WAVERLY RD",
"address_2": "HOLSTON COUNSELING SERVICES",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37664",
"telephone_number": "423-224-1300",
"fax_number": "423-224-1375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "RICHARD",
"middle_name": "B",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "LCSW617",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LCSW617",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PREF TRIGON",
"identifier": "089854",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN NAVIGATOR",
"identifier": "0096965",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH HEALTHPLAN",
"identifier": "13052",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "334969",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3920015",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROF TRIGON",
"identifier": "089854",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PINNACLE",
"identifier": "0096965",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN SUMMIT",
"identifier": "0096965",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3920247",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICHARD",
"last_name": "KIRK",
"middle_name": "B",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.