Kelli Reidford, LICSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008097 Issued in VA

Practice address

300 Montgomery St # 207
Alexandria, VA 22314-1544

Phone

(571) 403-2552

NPI assigned

Mar 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821396771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MONTGOMERY ST # 207",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141544",
            "telephone_number": "571-403-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MONTGOMERY ST # 207",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141544",
            "telephone_number": "571-403-2552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6908 Duke Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223071647",
            "country_code": "US",
            "telephone_number": "571-289-5846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6908 Duke Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223071647",
            "country_code": "US",
            "telephone_number": "571-289-5846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIDFORD",
        "first_name": "KELLI",
        "name_prefix": "Ms.",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078939",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924922",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obaid U Rehman
• Tariq Rehman, MD
• John Shinners Reibling, MSW, LCSW
• Donna Reid, DDS
• La Voyce Brice Reid, L.C.S.W.
• Kori Dean Reigel, DPT
• Casey Ann Reilly, PA-C, MMSC
• Kathleen Mary Reilly, CCC-SLP
• Rachel Reilly
• Judith Reinecke, RN

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, 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 Mar 17, 2018; 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.