KIMBERLY J PATRICK LCSW
NPI 1629612759
Social Worker - Clinical in Bristol, VA

Active since November 01, 2019PECOS EnrolledAccepts Medicare Assignment
2195 EUCLID AVE, BRISTOL, VA 24201(276) 669-5179(276) 466-8870 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2019, Nov 1, 2019 (2 updates tracked since 2019).

About Kimberly J Patrick Lcsw NPPES

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

KIMBERLY J PATRICK LCSW (NPI 1629612759) is an individual clinical provider in Bristol, Virginia, licensed in Virginia (0904011342) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Meadowview, and is a graduate of East Tennessee State University Quillen College Of Medicine (2016).

NPPES Registry Identity

NPI1629612759
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY J PATRICKCredential: LCSW
Location Address2195 EUCLID AVEBristol, VA 24201
Mailing AddressPo Box 646Emory, VA 24327-0646 · (276) 492-9985
Fax(276) 466-8870
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2016
Enumeration DateNovember 1, 2019
Last NPPES UpdateFebruary 26, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
NPI 1629612759 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 · 0904011342
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.
2195 EUCLID AVE, Bristol, VA 24201

Secondary Practice Location 1

Location 130371 Oxford AveMeadowview, VA 24361-3917 · Phone (276) 492-9985

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberly J Patrick Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214365782
PECOS Enrollment IDI20200316001506
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24201 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 14

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

Pediatrics
2195 EUCLID AVE, SUITE 6
BRISTOL, VA 24201
Clinic/Center (Federally Qualified Health Center (FQHC))
2195 EUCLID AVE
BRISTOL, VA 24201
Nurse Practitioner (Family)
2195 EUCLID AVE
BRISTOL, VA 24201
Pharmacist
2195 EUCLID AVE
BRISTOL, VA 24201
Social Worker
2195 EUCLID AVE
BRISTOL, VA 24201
Pharmacy (Community/Retail Pharmacy)
2195 EUCLID AVE
BRISTOL, VA 24201
Social Worker (Clinical)
2195 EUCLID AVE
BRISTOL, VA 24201
Emergency Medicine
2195 EUCLID AVE
BRISTOL, VA 24201

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 Kimberly Patrick's NPI number?

The NPI number for Kimberly Patrick is 1629612759. It was assigned to this individual provider in the NPPES registry on November 1, 2019.

Where is Kimberly Patrick located?

Kimberly Patrick practices at 2195 Euclid Ave, Bristol, VA 24201. The listed phone number is (276) 669-5179.

What is Kimberly Patrick's specialty?

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

Is Kimberly Patrick enrolled in Medicare?

Yes. Kimberly Patrick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Patrick accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Kimberly Patrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Patrick was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.