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KATELYN NICOLE KUKLA LCSW
NPI 1508543877
Social Worker - Clinical in Fairfax, VA

Active since June 29, 2023
10520 JUDICIAL DR, FAIRFAX, VA 22030(571) 474-5361 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katelyn Nicole Kukla Lcsw NPPES

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

KATELYN NICOLE KUKLA LCSW (NPI 1508543877) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904015534) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1508543877
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATELYN NICOLE KUKLACredential: LCSW
Location Address10520 JUDICIAL DRFairfax, VA 22030-5115
Mailing Address10520 Judicial DrFairfax, VA 22030-5115 · (703) 246-4336
Phone(571) 474-5361
Sole ProprietorNo
Enumeration DateJune 29, 2023
Last NPPES UpdateJuly 14, 2023
NPPES CertifiedJuly 14, 2023
✔ NPI 1508543877 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 · 0904015534
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.
10520 JUDICIAL DR, Fairfax, VA 22030
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Other Providers at the Same Location NPPES 18

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

CHARLOTTE HOLZEMER
Social Worker (Clinical)
10520 JUDICIAL DR
FAIRFAX, VA 22030
Fairfax City (703) 559-3000
MS. ASTRID BOVET L.C.S.W.
Social Worker (Clinical)
10520 JUDICIAL DR
FAIRFAX, VA 22030
Fairfax City (703) 246-4447
SARAH MAE GARY LPC
Counselor
10520 JUDICIAL DR
FAIRFAX, VA 22030
Fairfax City (703) 246-7901
ANN DINSMOOR SIGAFOOS PH.D.
Psychologist (Clinical)
10520 JUDICIAL DR, FORENSICS PROGRAM, FAIRFAX COUNTY ADULT DETENTION CENTE
FAIRFAX, VA 22030
Fairfax City (703) 246-4454
LEA L MOSES LPC
Counselor (Professional)
10520 JUDICIAL DR
FAIRFAX, VA 22030
Fairfax City (703) 383-8500
ASHLEY HUMPHREY LCSW
Social Worker (Clinical)
10520 JUDICIAL DR
FAIRFAX, VA 22030
Fairfax City (703) 246-5474
MRS. SANDRA LOUISE LOPEZ LPC
Counselor (Addiction (Substance Use Disorder))
10520 JUDICIAL DR
FAIRFAX, VA 22030
Fairfax City (703) 246-4454
CHARLENE ANN BARTLETT L.P.C
Counselor (Professional)
10520 JUDICIAL DR
FAIRFAX, VA 22030
Fairfax City (703) 246-4335

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 Katelyn Kukla's NPI number?

The NPI number for Katelyn Kukla is 1508543877. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Katelyn Kukla located?

Katelyn Kukla practices at 10520 Judicial Dr, Fairfax, VA 22030. The listed phone number is (571) 474-5361.

What is Katelyn Kukla'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 Katelyn Kukla was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.