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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.

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: September 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2026, Nov 18, 2019, Nov 1, 2019 (3 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
Phone(276) 669-5179
Fax(276) 466-8870
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2016
Enumeration DateNovember 1, 2019
Last NPPES UpdateSeptember 27, 20263 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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Patrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest Virginia Community Health Systems Inc
Same address
Federally Qualified Health Center (FQHC)
2195 EUCLID AVE
Bristol, VA 24201
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Southwest Virginia Community Health Systems Incorporated
  • 30 clinicians in this Medicare group
NPI 1225169295 (276) 669-5179

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MR. MICHAEL MURRAY JR. FNP-BC
Nurse Practitioner (Family)
2195 EUCLID AVE
BRISTOL, VA 24201
Bristol City (276) 669-5179
DR. GAYLE CATHERINE BATES M.D.
Pediatrics
2195 EUCLID AVE, SUITE 6
BRISTOL, VA 24201
Bristol City (276) 669-5179
SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2195 EUCLID AVE
BRISTOL, VA 24201
Bristol City (276) 669-5179
STEPHANIE BRANHAM NP
Nurse Practitioner (Family)
2195 EUCLID AVE
BRISTOL, VA 24201
Bristol City (276) 669-5179
KERRI LOGAN DEEL PHARM D
Pharmacist
2195 EUCLID AVE
BRISTOL, VA 24201
Bristol City (276) 644-4489
PAMELA KAY MEADE LCSW
Social Worker
2195 EUCLID AVE
BRISTOL, VA 24201
Bristol City (276) 669-5179
SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC
Pharmacy (Community/Retail Pharmacy)
2195 EUCLID AVE
BRISTOL, VA 24201
Bristol City (276) 644-4489
JESSICA BARNETTE LCSW
Social Worker (Clinical)
2195 EUCLID AVE
BRISTOL, VA 24201
Bristol City (276) 669-5179

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.

Which organization bills Medicare for Kimberly Patrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Patrick reassigns Medicare benefits to Southwest Virginia Community Health Systems Inc (Bristol, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Patrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Patrick accept?

Health plans from BlueCross BlueShield of Tennessee 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 September 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 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.