Kimberly J. Patrick, LCSW
NPI 1629612759ActiveIndividual· Social Worker, Clinical· Bristol, VA
Social Worker, Clinical (LCSW) in Bristol, Virginia, trained at East Tennessee State University Quillen College of Medicine (class of 2016). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1629612759 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Nov 1, 2019 |
| Last updated in NPPES | Sep 27, 2026 |
| Certified by provider | Feb 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 0904011342 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (VA) |
|---|
Education and affiliations
| Medical school | East Tennessee State University Quillen College of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Clinical Social Worker |
Medical group
- Southwest Virginia Community Health Systems IncorporatedSaltville, VA · 30 clinicians
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