Individual provider Active NPI

Kristy Nicole Justice, LCSW

  • Clinical Social Worker
  • Richlands, VA
National Provider Identifier
1316678121
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014104 Issued in VA
Practice address
120 Royal St
Richlands, VA 24641-2822
Phone
(276) 701-4586
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 0904014104 VA Primary
Clinical Social Worker 1041C0700X C019065 NC

Addresses

Primary practice location

120 Royal St
Richlands, VA 24641-2822

Mailing address

1121 Butterwood Cir
Fayetteville, NC 28314-0642
Phone (276) 701-4586

Other practice location 1

135 Page Rd N
Pinehurst, NC 28374-4607
Phone (910) 715-6067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415001041 VA Practitioner - Clinical Social Worker 1951826775 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C019065NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healtop Healthcare, LLC CurrentSince Mar 10, 2025 Accepting new patients

Locations

113 Short St
Ste 5
Pounding Mill, VA 24637
Phone (276) 345-4304

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1316678121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 BUTTERWOOD CIR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140642",
            "telephone_number": "276-701-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ROYAL ST",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412822",
            "telephone_number": "276-701-4586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Page Rd N",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283744607",
            "country_code": "US",
            "telephone_number": "910-715-6067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "KRISTY",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014104",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

Verify at the official NPI Registry.