Individual provider Active NPI

Kristen Ann Sanders, LCSW

  • Clinical Social Worker
  • Winchester, VA
National Provider Identifier
1760126205
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013894 Issued in VA
Practice address
172 Linden Dr Ste 111
Winchester, VA 22601-2892
Phone
(540) 536-4881
Fax
(540) 536-3274
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 0904013894 VA Primary

Addresses

Primary practice location

172 Linden Dr Ste 111
Winchester, VA 22601-2892

Mailing address

220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100

Other practice location 1

337 Westside Station Drive
Winchester, VA 22601
Phone (540) 536-4881

Other practice location 2

3150 Shawnee Dr
Winchester, VA 22601-4208
Phone (540) 431-9695

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
I20250609002203 VA Practitioner - Clinical Social Worker 1759891708 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904013894VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Jun 23, 2025 Accepting new patients
Winchester Medical Center Clinical CurrentSince Jun 23, 2025 Accepting new patients

Locations

220 Campus Blvd
Ste 320
Winchester, VA 22601

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

337 Westside Station Dr
Winchester, VA 22601
Phone (540) 536-4881

172 Linden Dr
Ste 111
Winchester, VA 22601
Phone (540) 535-0269

Organizations & group practices 3

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1760126205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 LINDEN DR STE 111",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012892",
            "telephone_number": "540-536-4881",
            "fax_number": "540-536-3274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 Westside Station Drive",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "22601",
            "country_code": "US",
            "telephone_number": "540-536-4881",
            "fax_number": "540-536-3274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3150 Shawnee Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226014208",
            "country_code": "US",
            "telephone_number": "540-431-9695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KRISTEN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.