Individual provider Active NPI

Katherine S Locke, LCSW

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1477051076
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010195 Issued in VA
Practice address
4112 E Parham Rd Ste a
Henrico, VA 23228-2753
Phone
(804) 562-6527
Fax
(804) 562-6709
NPI assigned
Jan 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904010195 VA Primary

Addresses

Primary practice location

4112 E Parham Rd Ste a
Henrico, VA 23228-2753

Mailing address

4112 E Parham Rd Ste a
Henrico, VA 23228-2753
Phone (804) 562-6527

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
I20180314001926 VA Practitioner - Clinical Social Worker 2961764774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4112 E Parham Rd
Suite a
Henrico, VA 23228-2753
Phone (804) 562-6527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904010195VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Counseling and Consulting of Virginia PLLC CurrentSince Jan 6, 2018 Accepting new patients

Locations

4112 E Parham Rd
Ste A
Henrico, VA 23228
Phone (804) 562-6527

4110 E Parham Rd
Ste 208
Henrico, VA 23228
Phone (804) 396-3243

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": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1477051076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 E PARHAM RD STE A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282753",
            "telephone_number": "804-562-6527",
            "fax_number": "804-562-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 E PARHAM RD STE A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282753",
            "telephone_number": "804-562-6527",
            "fax_number": "804-562-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "KATHERINE",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.