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

Individual provider Clinical Social Worker · NPI 1245833466

Katherine Suzanne Hetrick, LCSW is a Clinical Social Worker in Manassas, Virginia. Qualified in 2017, 9 years ago. Practices with Prince William County Community Services Board, a 54-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2020
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

7969 Ashton Ave
Manassas, VA 20109-2885
Phone: (703) 792-7800
Fax: (703) 792-5699
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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 0904012420 (VA)

Record details

NPI number1245833466
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 19, 2020
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Prince William County Community Services Board — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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