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KATHERINE MODICA LCSW
NPI 1275005902
Social Worker - Clinical in Charlottesville, VA

Active since December 19, 2018Opted out of Medicare · through Jun 1, 2028
500 OLD LYNCHBURG RD, CHARLOTTESVILLE, VA 22903(434) 970-1291 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katherine Modica Lcsw NPPES

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

KATHERINE MODICA LCSW (NPI 1275005902) is an individual clinical provider in Charlottesville, Virginia, licensed in Virginia (0904010843) and active in the NPI registry since December 2018. She has opted out of Medicare through June 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275005902
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHERINE MODICACredential: LCSW
Location Address500 OLD LYNCHBURG RDCharlottesville, VA 22903-6500
Mailing Address5032 Clearfields CtCrozet, VA 22932-3146 · (434) 242-2436
Phone(434) 970-1291
Sole ProprietorNo
Enumeration DateDecember 19, 2018
✔ NPI 1275005902 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 · 0904010843
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.
500 OLD LYNCHBURG RD, Charlottesville, VA 22903
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katherine Modica Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 1, 2026 through June 1, 2028.

Opt-Out Effective DateJune 1, 2026
Opt-Out In Effect ThroughJune 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. SHAWN GEWIRTZ PH.D.
Psychologist (Clinical Child & Adolescent)
500 OLD LYNCHBURG RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 972-1737
HANNAH LARTER
Social Worker (Clinical)
500 OLD LYNCHBURG RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 972-1800
ZARINA BURDGE LCSW
Social Worker (Clinical)
500 OLD LYNCHBURG RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (757) 282-8091
JORDAN ALFORD BROOKS LPC
Counselor (Professional)
500 OLD LYNCHBURG RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 964-7607
THERESA HECMANCZUK
Counselor (Mental Health)
500 OLD LYNCHBURG RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 972-1800
CATHERINE MOLTER MSW, LCSW
Social Worker (Clinical)
500 OLD LYNCHBURG RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 972-1800
MS. CAROL SOBER GROOME LCSW
Social Worker (Clinical)
500 OLD LYNCHBURG RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 970-1481
JOANNA JENNINGS
Social Worker (Clinical)
500 OLD LYNCHBURG RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 972-1800

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 Modica's NPI number?

The NPI number for Katherine Modica is 1275005902. It was assigned to this individual provider in the NPPES registry on December 19, 2018.

Where is Katherine Modica located?

Katherine Modica practices at 500 Old Lynchburg Rd, Charlottesville, VA 22903. The listed phone number is (434) 970-1291.

What is Katherine Modica's specialty?

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

Is Katherine Modica enrolled in Medicare?

No. Katherine Modica has opted out of Medicare through June 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Katherine Modica was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.