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General NPI Number Information
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NPI Number | 1114899275
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Entity Type | Individual
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Provider Name | MELISSA MARIE KIRKPATRICK MSW, LGSW, CSOTP
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Gender | Female
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 13000 HARBOR CENTER DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2846
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Country | US
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Telephone | 703-492-2994
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Fax |
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Provider Business Mailing Address
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Address Line | 1443 ROCK SPRING RD UNIT 259
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City | BEL AIR
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State | MD
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Zip | 21014-1920
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Country | US
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Telephone | 301-327-6007
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0906016928
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0812000958
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LG200004330
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License Number State | DC
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