Individual provider Active NPI

Kelly Fines, LCSW

  • Clinical Social Worker
  • Fredericksburg, VA
National Provider Identifier
1922610948
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012233 Issued in VA
Practice address
308 Wolfe St
Fredericksburg, VA 22401-5925
Phone
(540) 370-6983
Fax
(540) 427-7912
NPI assigned
Aug 20, 2020
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 0904012233 VA Primary

Addresses

Primary practice location

308 Wolfe St
Fredericksburg, VA 22401-5925

Mailing address

308 Wolfe St
Fredericksburg, VA 22401-5925
Phone (540) 273-9408

Other practice location 1

615 Wolfe St
Fredericksburg, VA 22401-5735
Phone (540) 273-9408

Other practice location 2

8020 River Stone Dr
Fredericksburg, VA 22407-8761
Phone (540) 895-5101 ext. 7967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904012233VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kairos Counseling Services Clinical CurrentSince Nov 20, 2022 Accepting new patients
Exhale Counseling Services Clinical Current Accepting new patients
Spotsylvania County Schools PastSince Aug 1, 2020 Accepting new patients

Locations

308 Wolfe St
Fredericksburg, VA 22401
Phone (540) 252-9448

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1922610948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 WOLFE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015925",
            "telephone_number": "540-273-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WOLFE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015925",
            "telephone_number": "540-370-6983",
            "fax_number": "540-427-7912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224015735",
            "country_code": "US",
            "telephone_number": "540-273-9408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8020 River Stone Dr",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224078761",
            "country_code": "US",
            "telephone_number": "540-895-5101 x7967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINES",
        "first_name": "KELLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.