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KATIE R. EUSTICE LMSW-CC, CADC
NPI 1093797060
Social Worker - Clinical in Fairfax, VA

Active since November 16, 2005
10084 DANIELS RUN WAY, FAIRFAX, VA 22030(303) 902-0653(719) 314-1719 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2024, Oct 14, 2021, Aug 16, 2018 (3 updates tracked since 2018).

About Katie R. Eustice Lmsw-cc, Cadc NPPES

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

KATIE R. EUSTICE LMSW-CC, CADC (NPI 1093797060) is an individual clinical provider in Fairfax, Virginia, licensed in Colorado (09924585) and active in the NPI registry since November 2005. She maintains a secondary practice location in Colorado Springs.

NPPES Registry Identity

NPI1093797060
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATIE R. EUSTICECredential: LMSW-CC, CADC
Location Address10084 DANIELS RUN WAYFairfax, VA 22030-2448
Mailing Address10084 Daniels Run WayFairfax, VA 22030-2448 · (303) 902-0653 · Fax (719) 314-1719
Phone(303) 902-0653
Fax(719) 314-1719
Sole ProprietorNo
Enumeration DateNovember 16, 2005
Last NPPES UpdateApril 1, 20243 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1093797060 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 CO · 09924585
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.

10084 DANIELS RUN WAY, Fairfax, VA 22030
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Other Names 1

Former Name (1)Katie R. Kelly

Secondary Practice Location 1

Location 1300 Garden Of The Gods Rd Ste 200Colorado Springs, CO 80907-4248 · Phone (719) 301-9858 · Fax (719) 314-1719

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 Katie Eustice's NPI number?

The NPI number for Katie Eustice is 1093797060. It was assigned to this individual provider in the NPPES registry on November 16, 2005. The provider is also known as Katie R. Kelly.

Where is Katie Eustice located?

Katie Eustice practices at 10084 Daniels Run Way, Fairfax, VA 22030. The listed phone number is (303) 902-0653.

What is Katie Eustice'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 Katie Eustice was last updated on April 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.