KAITLYN RAE KELLERMEYER
NPI 1730962028
Social Worker - Clinical in Fairfax, VA

Active since August 18, 2023
10521 ROSEHAVEN ST, FAIRFAX, VA 22030(703) 352-3822 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaitlyn Rae Kellermeyer NPPES

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

KAITLYN RAE KELLERMEYER (NPI 1730962028) is an individual clinical provider in Fairfax, Virginia and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1730962028
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAITLYN RAE KELLERMEYER
Location Address10521 ROSEHAVEN STFairfax, VA 22030-2876
Mailing Address2679 Avenir Pl Apt 4310Vienna, VA 22180-7181 · (214) 616-5755
Sole ProprietorNo
Enumeration DateAugust 18, 2023
NPPES CertifiedAugust 18, 2023
NPI 1730962028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
10521 ROSEHAVEN ST, Fairfax, VA 22030

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Obstetrics & Gynecology)
10521 ROSEHAVEN ST, SUITE LL 100
FAIRFAX, VA 22030
Obstetrics & Gynecology
10521 ROSEHAVEN ST, LL 100
FAIRFAX, VA 22030
Nurse Practitioner (Women's Health)
10521 ROSEHAVEN ST
FAIRFAX, VA 22030
Physical Therapist
10521 ROSEHAVEN ST, # 150 LL
FAIRFAX, VA 22030
Nurse Practitioner (Psychiatric/Mental Health)
10521 ROSEHAVEN ST
FAIRFAX, VA 22030
Obstetrics & Gynecology
10521 ROSEHAVEN ST, SUITE LL 100
FAIRFAX, VA 22030
Durable Medical Equipment & Medical Supplies
10521 ROSEHAVEN ST, SUITE 180
FAIRFAX, VA 22030

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 Kaitlyn Kellermeyer's NPI number?

The NPI number for Kaitlyn Kellermeyer is 1730962028. It was assigned to this individual provider in the NPPES registry on August 18, 2023.

Where is Kaitlyn Kellermeyer located?

Kaitlyn Kellermeyer practices at 10521 Rosehaven St, Fairfax, VA 22030. The listed phone number is (703) 352-3822.

What is Kaitlyn Kellermeyer'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 Kaitlyn Kellermeyer was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.