Kaitlyn Wagner, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0903004522 Issued in VA

Practice address

24560 Southpoint Dr Ste 260
Aldie, VA 20105-3505

Phone

(571) 248-7472

NPI assigned

Apr 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Columbia Associates in Psychiatry PC

  • Psychiatry Physician
  • Arlington, VA
  • NPI 1699012930

  Social Worker

  NPD

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1679360580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501N GLEBE ST.",
            "address_2": "STE 303",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22207",
            "telephone_number": "703-841-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DR STE 260",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053505",
            "telephone_number": "571-248-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KAITLYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903004522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United State Home Healthcare LLC
• VCM Family Medicine
• Virginia Family & Cosmetic Dentistry
• Virginia Nursing Homes Specialists PLLC
• Keelah Voll, PSY.D.
• Walgreen Co.
• Wellza Therapy LLC
• Anna Carrenina Wiesbauer, PT
• Jessica Ann Winters, OTR/L
• Prashant Yadav, DO

• Social Worker in Aldie, VA
• Providers in Aldie, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.