Kristyn K Neidermeyer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003459 Issued in VA

Practice address

3300 Academy Ave
Portsmouth, VA 23703-3205

Phone

(757) 483-6404

Fax

(757) 483-0737

NPI assigned

Oct 18, 2005

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

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristyn.neidermeyer.1@30520.direct.athenahealth.com

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.

• Rock Landing Psychological Group PLC

  • Psychiatry Physician
  • Newport News, VA
  • NPI 1528159183
  Medicare reassignment
• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448
  NPD
• Riverside Physician Services Inc

  • Psychiatry Physician
  • Portsmouth, VA
  • NPI 1821421454

  Clinical

  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699764191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 ACADEMY AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033205",
            "telephone_number": "757-483-6404",
            "fax_number": "757-483-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 ACADEMY AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033205",
            "telephone_number": "757-483-6404",
            "fax_number": "757-483-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDERMEYER",
        "first_name": "KRISTYN",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "326601",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "080964",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8917566",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malik Lamont Neely
• Cory Allan Negri, DPM
• Elsio Rafael Negron-Rubio, M.D.
• Jonathan Blaze Negron, DMD
• Kinfe T Negru, PHARMACIST
• Neighborcare Pharmacy of Virginia, LLC
• Onica Elaine Neilson, CNA
• Anastasia S Nelson, PA-C
• Andrew Alonzo Nelson, MD
• Cody James Nelson, DMD

• Clinical Social Worker in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.