KEVIN R BIRDSELL (LCSW) – Clinical Social Worker, NPI 1215950332

KEVIN R BIRDSELL (LCSW) is a healthcare provider. based in Glen allen, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCSW. They hold a License No. 0904005961 (VA). The NPI Number for KEVIN R BIRDSELL (LCSW) is 1215950332

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN R BIRDSELL (LCSW)
NPI
1215950332
Phone
(804) 592-2793
Address
5352 TWIN HICKORY RD
Enumeration Date
26 July 2006
Last Update Date
13 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8553557001
Graduation Year
1998 (28 years ago)
PAC ID
3072825553
Group Practice PAC ID
0941448211
Professional Enrollment ID
I20231114000842
Address ID
VA232365407NO9201XPKWY301
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

1,998 MENTAL HEALTH COUNSELOR in VA

Provider Addresses for KEVIN R BIRDSELL (LCSW)

  • 5352 TWIN HICKORY RD

    GLEN ALLEN, VA 230595682

    Phone: (804) 592-2793

    Fax: (804) 592-2794

    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: 2023-11-14

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
I20231114000842IMental Health CounselorVATBD

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 23059)

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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: 0941448211View full group profile
NameSpecialtyState
P S Y C H I A T R YVA
Mental Health CounselorVA

Reviews

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Frequently asked questions

How is KEVIN R BIRDSELL (LCSW) identified in CMS data?
CMS-hosted NPPES data lists KEVIN R BIRDSELL (LCSW) with NPI 1215950332.
Can I rely on KEVIN R BIRDSELL (LCSW) being an active provider?
As of the registry snapshot, KEVIN R BIRDSELL (LCSW) is marked active.
What is KEVIN R BIRDSELL (LCSW)'s primary classification?
Clinical Social Worker is the headline specialty for KEVIN R BIRDSELL (LCSW) here. Clinical services aligned with this taxonomy classification.
Where is KEVIN R BIRDSELL (LCSW) based?
KEVIN R BIRDSELL (LCSW) is tied to Glen Allen, Virginia in the data we show; additional addresses may exist on the full record.
Why does KEVIN R BIRDSELL (LCSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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