Individual provider Active NPI

Kimberly Kaelin

  • Clinical Social Worker
  • Winchester, VA
National Provider Identifier
1487119400
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW131666 Issued in PA
Practice address
878 Fox Dr
Winchester, VA 22603-8613
Phone
(540) 546-2624
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 0904019121 VA
Clinical Social Worker 1041C0700X SW131666 PA Primary

Addresses

Primary practice location

878 Fox Dr
Winchester, VA 22603-8613

Mailing address

878 Fox Dr
Winchester, VA 22603-8613

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
I20251210003988 VA Practitioner - Clinical Social Worker 8123512787 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
Group practices
Healing Hands Integrated Wellness and Primary CareGroup PAC ID 3072993468, 8 clinicians

Practice addresses (Care Compare)

878 Fox Dr
Winchester, VA 22603-8613
Phone (540) 546-2624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW131666PAMDClinical Social Worker
0904019121VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Integrated Wellness & Primary Care Clinical CurrentSince Oct 1, 2025 Accepting new patients

Locations

874 Fox Dr
Winchester, VA 22603
Phone (540) 662-0990

878 Fox Dr
Winchester, VA 22603
Phone (540) 546-2624

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28421/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kimberly.kaelin.1@28421.direct.athenahealth.com

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1487119400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 FOX DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226038613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 FOX DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226038613",
            "telephone_number": "540-546-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAELIN",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW131666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.