Individual provider Active NPI

Aimee C Kluczynski, LCSW

  • Clinical Social Worker
  • Fredericksburg, VA
National Provider Identifier
1407914914
Registry record updated Jul 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008232 Issued in VA
Practice address
701 Kenmore Ave Ste 105
Fredericksburg, VA 22401
Phone
(540) 322-5424
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2018

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 277 CO
Clinical Social Worker 1041C0700X 0904008232 VA Primary

Addresses

Primary practice location

701 Kenmore Ave Ste 105
Fredericksburg, VA 22401

Mailing address

701 Kenmore Ave Ste 105
Fredericksburg, VA 22401-5792
Phone (540) 322-5424

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
I20190320003508 VA Practitioner - Clinical Social Worker 0941255921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

701 Kenmore Ave
Suite 105
Fredericksburg, VA 22401-5792
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008232VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

201 N Washington Hwy
Ste 201
Ashland, VA 23005
Phone (804) 269-8755

106 Southpark Dr
Ste C
Blacksburg, VA 24060
Phone (540) 361-6270

2300 Commonwealth Dr
Ste 100
Charlottesville, VA 22901
Phone (434) 205-6776

9846 Lori Rd
Ste 210
Chesterfield, VA 23832

701 Kenmore Ave
Ste 105
Fredericksburg, VA 22401
Phone (540) 322-5424

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

10755 Ambassador Dr
Ste 201
Manassas, VA 20109
Phone (301) 801-6852

13817 Village Mill Dr
Ste R
Midlothian, VA 23114
Phone (804) 537-2024

1030 Loftis Blvd
Ste 102
Newport News, VA 23606
Phone (978) 998-5022

110 Kingsley Ln
Ste 106
Norfolk, VA 23505
Phone (757) 354-2885

901 Hampton Blvd
Ste 301
Norfolk, VA 23507
Phone (805) 415-8544

11260 Roger Bacon Dr
Ste 103
Reston, VA 20190
Phone (703) 635-3514

11260 Roger Bacon Dr
Ste 206
Reston, VA 20190
Phone 6173790496 ext. 8694

1901 E Franklin St
Ste 108
Richmond, VA 23223
Phone (804) 331-2570

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

3235 Electric Rd
Ste 1A
Roanoke, VA 24018
Phone (540) 210-1379

509 Old Great Neck Rd
Ste 203
Virginia Beach, VA 23454
Phone (479) 381-7603

516 S Independence Blvd
Ste 104
Virginia Beach, VA 23452
Phone (757) 262-6961

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532736000000",
    "number": "1407914914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 KENMORE AVE STE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015792",
            "telephone_number": "540-322-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 KENMORE AVE STE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-322-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUCZYNSKI",
        "first_name": "AIMEE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2018-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "277",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.