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

Katherine Dervin, LCSW

Individual provider Clinical Social Worker · NPI 1003860834

Katherine Dervin, LCSW is a Clinical Social Worker in Fredericksburg, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
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

12000 Kennedy Ln Ste 100
Fredericksburg, VA 22407-6016
Phone: (540) 548-2063
Fax: (540) 548-2962
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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 0904000016 (VA)

Record details

NPI number1003860834
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESJuly 13, 2026

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