Individual provider Active NPI

Katherine Grace Richards, LCSW, LCSW-C

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1356955785
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010005 Issued in VA
Practice address
6300 Stevenson Ave Ste B
Alexandria, VA 22304-3554
Phone
(703) 935-0058
NPI assigned
Sep 2, 2020
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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 19978 MD
Clinical Social Worker 1041C0700X 0904010005 VA Primary

Addresses

Primary practice location

6300 Stevenson Ave Ste B
Alexandria, VA 22304-3554

Mailing address

2905 S Woodley St Apt E
Arlington, VA 22206-4021
Phone (301) 801-6652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 11, 2020 through Sep 11, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19978MDMDClinical Social Worker
0904010005VAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1356955785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 S WOODLEY ST APT E",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222064021",
            "telephone_number": "301-801-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 STEVENSON AVE STE B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043554",
            "telephone_number": "703-935-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KATHERINE",
        "middle_name": "GRACE",
        "credential": "LCSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19978",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.