{"npi":"1629612759","type":"NPI-1","status":"active","name":{"display":"Kimberly Patrick LCSW","other":[],"first":"KIMBERLY","last":"PATRICK","middle":"J","credential":"LCSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"VA","license":"0904011342"}]},"addresses":[{"purpose":"LOCATION","street_1":"2195 EUCLID AVE","city":"BRISTOL","state":"VA","postal_code":"24201","country_code":"US","phone":"2766695179","fax":"2764668870"},{"purpose":"MAILING","street_1":"PO BOX 646","city":"EMORY","state":"VA","postal_code":"243270646","country_code":"US","phone":"2764929985"}],"license":{"state":"VA","number":"0904011342"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200316001506","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"VA","pac_id":"7214365782"}]},"enumeration_date":"2019-11-01","last_updated":"2026-02-26","_meta":{"source":"NPPES","snapshot_date":"2026-02-26","doc_url":"https://findmynpi.com/api"}}