DR. KIMBERLY BRODIE-HARLAN (PH.D, LCSW) – Social Worker, NPI 1104930759

DR. KIMBERLY BRODIE-HARLAN (PH.D, LCSW) is a healthcare provider. based in Virginia beach, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials PH.D, LCSW. They hold a License No. 0904001687 (VA). The NPI Number for DR. KIMBERLY BRODIE-HARLAN (PH.D, LCSW) is 1104930759

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY BRODIE-HARLAN (PH.D, LCSW)
NPI
1104930759
Phone
(757) 422-2118
Address
1008 OLD VIRGINIA BEACH RD
Enumeration Date
19 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7574222118
Graduation Year
1987 (39 years ago)
PAC ID
7012988918
Group Practice PAC ID
1951372853
Professional Enrollment ID
I20040804000571
Address ID
VA234515564VI1008XRDXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

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Provider Addresses for DR. KIMBERLY BRODIE-HARLAN (PH.D, LCSW)

  • 1008, Old Virginia Beach Road, Salt Meadow Bay Condominiums, Virginia Beach, Virginia, 23451, United States

    SUITE 100

    VIRGINIA BEACH, VA 234515564

    Phone: (757) 422-2118

    Fax: (757) 422-2388

    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: 2004-08-04

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
I20040804000571IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour17712$0
View full utilization report →

Insurance plans in this area (ZIP 23451)

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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: 1951372853View full group profile
NameSpecialtyState
Clinical PsychologistVA
Mental Health CounselorVA

Reviews

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Frequently asked questions

What NPI should I save for DR. KIMBERLY BRODIE-HARLAN (PH.D, LCSW)?
Save NPI 1104930759 if you need a stable reference for DR. KIMBERLY BRODIE-HARLAN (PH.D, LCSW).
Is DR. KIMBERLY BRODIE-HARLAN (PH.D, LCSW)'s NPI currently valid?
The extract we use shows DR. KIMBERLY BRODIE-HARLAN (PH.D, LCSW) as active.
What does DR. KIMBERLY BRODIE-HARLAN (PH.D, LCSW) treat or focus on?
Patients typically see DR. KIMBERLY BRODIE-HARLAN (PH.D, LCSW) under the specialty Social Worker. Clinical services aligned with this taxonomy classification.
Where is DR. KIMBERLY BRODIE-HARLAN (PH.D, LCSW)'s primary listing?
We display Virginia Beach, Virginia because that is what the record indicates for DR. KIMBERLY BRODIE-HARLAN (PH.D, LCSW).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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