NPIMap

Individual provider Active NPI

Kimberly J Patrick, LCSW

  • Clinical Social Worker
  • Bristol, VA
National Provider Identifier
1629612759
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011342 Issued in VA
Practice address
2195 Euclid Ave
Bristol, VA 24201
Phone
(276) 669-5179
Fax
(276) 466-8870
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 15

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.

View all 15

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
East Tennessee State University Quillen College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Virginia Community Health Systems Incorporated 29 clinicians

Practice addresses (Care Compare)

2195 Euclid Ave
Bristol, VA 24201-3655
Phone (276) 669-5179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316001506 VA Practitioner - Clinical Social Worker 7214365782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Virginia Community Health Systems Inc CurrentSince Jan 6, 2020 Accepting new patients
Southwest Virginia Community Health Systems Inc. CurrentSince Jan 6, 2020 Accepting new patients
Southwest Virginia Community Health Systems Incorporated Current Accepting new patients

Locations

2195 Euclid Ave
Bristol, VA 24201
Phone (276) 669-5179

319 5th Ave
Saltville, VA 24370

308 W Main St
Saltville, VA 24370
Phone (276) 496-4433

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904011342 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

2195 Euclid Ave
Bristol, VA 24201

Mailing address

PO Box 646
Emory, VA 24327-0646
Phone (276) 492-9985

Other practice location 1

30371 Oxford Ave
Meadowview, VA 24361-3917
Phone (276) 492-9985

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2026.

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1629612759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "city": "EMORY",
            "state": "VA",
            "postal_code": "243270646",
            "telephone_number": "276-492-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "24201",
            "telephone_number": "276-669-5179",
            "fax_number": "276-466-8870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30371 Oxford Ave",
            "address_purpose": "LOCATION",
            "city": "Meadowview",
            "state": "VA",
            "postal_code": "243613917",
            "country_code": "US",
            "telephone_number": "276-492-9985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

Verify at the official NPI Registry.