Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1598087983 Deactivated / Inactive NPI Male Practitioner

Kirk M Balcom , LCSW

Social Worker - Clinical • Dumfries, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kirk Balcom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 25, 2010
NPI Deactivation Date November 25, 2020
Total Practice Duration ~10 Years of Practice (2010 – 2020)

Professional Overview & Biography Verified Profile Summary

Kirk Balcom, LCSW was a registered Social Worker - Clinical practicing in Dumfries, VA. Throughout an active medical career spanning 10 years, Kirk Balcom provided care at the practice location at 17606 MAIN ST until profile deactivation on 2020-11-25.

Practice Location & Contact Primary Location

Practice Address

17606 Main St
Suite 204

Dumfries, VA 220262343

Telephone 7038671366
Associated Practice Facility / Clinic
🏢 Xinsheng Zhu, D.d.s., P.c. Facility NPI 1497934434

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Dumfries, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
21 Specialists

Practicing in Dumfries, VA (8272 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License VA 0904003928

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Xinsheng Zhu , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1295929859

Doctor of Dental Surgery

Marcia Estes , LPC

Counselor - Professional

NPI 1366468092

Licensed Professional Counselor

Amy Taylor , LCSW, MSW

Social Worker - Clinical

NPI 1417960055

Licensed Clinical Social Worker, Master of Social Work

NPI 1811329790

Doctor of Dental Surgery

June Wynn , LCSW

Social Worker - Clinical

NPI 1861411803

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 25, 2020

Record deactivated on November 25, 2020

NPI Profile Active February 25, 2010

NPI status registered as active in NPPES database

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Updated Practice Location February 25, 2010

Registered at 17606 MAIN ST, SUITE 204, DUMFRIES, VA 220262343 (Tel: 7038671366)

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Updated Business Mailing Address February 25, 2010

Registered at 4900 SUGAR MAPLE LN, DUMFRIES, VA 220253016 (Tel: 7038671366)

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Provider Name / Credentials Updated February 25, 2010

Recorded as KIRK BALCOM, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2010

Social Worker (License #0904003928 in VA)

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Initial NPI Registration & Enumeration February 25, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598087983
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2010
Last Update: February 25, 2010
Deactivation Date: November 25, 2020

Mailing Address

4900 Sugar Maple Ln

Dumfries, VA 220253016

Phone: 7038671366

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.