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

Kristin Bultman

Individual provider Clinical Social Worker · NPI 1134011083

Kristin Bultman is a Clinical Social Worker in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2025.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

10513 Judicial Dr Ste 301
Fairfax, VA 22030-7528
Phone: (703) 966-5173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904018795 (VA)

Record details

NPI number1134011083
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

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