Individual provider Active NPI

Kristin Dahland

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1982139473
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009867 Issued in VA
Practice address
1900 Byrd Ave
Ste 200
Richmond, VA 23230-3033
Phone
(804) 592-6311
NPI assigned
Apr 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 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 0904009867 VA Primary

Addresses

Primary practice location

1900 Byrd Ave
Ste 200
Richmond, VA 23230-3033

Mailing address

1900 Byrd Ave
Richmond, VA 23230-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 17, 2024 through Sep 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904009867VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Creative Counseling, LLC Past Accepting new patients
Richmond Creative Counseling Clinical Past Accepting new patients

Organizations & group practices 2

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": "1492819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1982139473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BYRD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BYRD AVE",
            "address_2": "STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303033",
            "telephone_number": "804-592-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLAND",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-22",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.