Individual provider Active NPI

Cherie Lora Kitchell, MSW

  • Clinical Social Worker
  • Burke, VA
National Provider Identifier
1780697557
Registry record updated Feb 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000635 Issued in VA
Practice address
9000B Crownwood CT
Burke, VA 22015-4623
Phone
(703) 851-2563
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2017

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 0904000635 VA Primary

Addresses

Primary practice location

9000B Crownwood CT
Burke, VA 22015-4623

Mailing address

8413 Brookewood CT
MC Lean, VA 22102-1749
Phone (703) 851-2563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110110000340 DC Practitioner - Clinical Social Worker 5193914976 Practice locations: Burke, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9000 B Crownwood CT
Burke, VA 22015-4623
Phone (703) 851-2563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487376000000",
    "number": "1780697557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8413 BROOKEWOOD CT",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221021749",
            "telephone_number": "703-851-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000B CROWNWOOD CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154623",
            "telephone_number": "703-851-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHELL",
        "first_name": "CHERIE",
        "middle_name": "LORA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2017-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

Verify at the official NPI Registry.