Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katelyn Nicole Kukla, LCSW

Individual provider Clinical Social Worker · NPI 1508543877

Katelyn Nicole Kukla, LCSW is a Clinical Social Worker in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

10520 Judicial Dr
Fairfax, VA 22030-5115
Phone: (571) 474-5361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904015534 (VA)

Record details

NPI number1508543877
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 29, 2023
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

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