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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHERINE DERVIN LCSW
NPI 1003860834
Social Worker - Clinical in Fredericksburg, VA

Active since May 19, 2006
12000 KENNEDY LN, SUITE 100, FREDERICKSBURG, VA 22407(540) 548-2063(540) 548-2962 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katherine Dervin Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE DERVIN LCSW (NPI 1003860834) is an individual clinical provider in Fredericksburg, Virginia, licensed in Virginia (0904000016) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1003860834
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHERINE DERVINCredential: LCSW
Location Address12000 KENNEDY LN, SUITE 100Fredericksburg, VA 22407-6016
Mailing Address12000 Kennedy Ln, Suite 100Fredericksburg, VA 22407-6016 · (540) 548-2063 · Fax (540) 548-2962
Phone(540) 548-2063
Fax(540) 548-2962
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1003860834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904000016
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12000 KENNEDY LN, Fredericksburg, VA 22407
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES MUNDY MD
Internal Medicine
12000 KENNEDY LN
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 741-7100
RYSZARD ZEBRAK M.D.
Psychiatry & Neurology (Psychiatry)
12000 KENNEDY LN, BLDG. 100
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 741-7100
JOE THOMAS JOHNSON LCSW
Social Worker (Clinical)
12000 KENNEDY LN, SUITE 100
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 741-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Dervin's NPI number?

The NPI number for Katherine Dervin is 1003860834. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Katherine Dervin located?

Katherine Dervin practices at 12000 Kennedy Ln Suite 100, Fredericksburg, VA 22407. The listed phone number is (540) 548-2063.

What is Katherine Dervin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Katherine Dervin was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.