Active NPI
Kristen Patrick
- Social Worker
- Lansdowne, VA
National Provider Identifier
1952274953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0906016455
- Practice address
- 19420 Golf Vista PLZ Ste 250
Lansdowne, VA 20176-8267 - Phone
- (571) 335-6354
- NPI assigned
- Sep 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0734013148 | VA | |
| Social Worker | 104100000X | 0906016455 | VA | Primary |
Addresses
Primary practice location
19420 Golf Vista PLZ Ste 250
Lansdowne, VA 20176-8267
Mailing address
19420 Golf Vista PLZ Ste 250
Lansdowne, VA 20176-8267
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0734013148 | VA | MD | Mental Health Counselor |
| 0906016455 | VA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1952274953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19420 GOLF VISTA PLZ STE 250",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201768267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19420 GOLF VISTA PLZ STE 250",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201768267",
"telephone_number": "571-335-6354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-25",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0734013148",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0906016455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansdowne, VA
- Srinagesh Paluvoi, M.D.
- Lindsey Michelle Paniszczyn, MS, RDN, LDN
- Micah J Park, MD
- A. Carminda Passino, MSSW
- Vishal Anil Patel, MD
- Kathleen Waggoner Petty, LCSW, CSAC
- Anh Huu Pham, DDS
- Cameron Lee Phipps, D.P.M.
- Physical Medicine Associates LTD (National Spine & Pain Centers)
- Physicians Practice and Research, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.