KATELYN SISSON – Clinical Social Worker, NPI 1003613050

KATELYN SISSON is a healthcare provider. based in North chesterfield, Virginia. specializing in CLINICAL SOCIAL WORKER. The NPI Number for KATELYN SISSON is 1003613050

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN SISSON
NPI
1003613050
Phone
Not provided
Address
8310 MIDLOTHIAN TPKE
Enumeration Date
27 February 2025
Last Update Date
27 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8044476382
Graduation Year
2020 (6 years ago)
PAC ID
6608390935
Group Practice PAC ID
5092021949
Professional Enrollment ID
I20250408003308
Address ID
VA232355163NO8310XTPKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for KATELYN SISSON

  • 8310 MIDLOTHIAN TPKE

    NORTH CHESTERFIELD, VA 232355163

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250408003308IClinical Social WorkerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23235)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092021949View full group profile
NameSpecialtyState
Mental Health CounselorVA
Mental Health CounselorVA
Mental Health CounselorVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Mental Health CounselorVA
Mental Health CounselorVA
Clinical Social WorkerVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

Is there an official ID for KATELYN SISSON in U.S. healthcare records?
The official identifier for KATELYN SISSON is NPI 1003613050.
Is there an active status for KATELYN SISSON?
For scheduling context, KATELYN SISSON is shown as active in the registry.
What clinical focus is listed for KATELYN SISSON?
At a glance, KATELYN SISSON is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is KATELYN SISSON located near North Chesterfield?
KATELYN SISSON currently maps to North Chesterfield, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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