Individual provider Active NPI

Kristen Mary Deboy Caminiti, MSW, LICSW

  • Clinical Social Worker
  • Severna Park, MD
National Provider Identifier
1003054867
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16371 Issued in MD
Practice address
877 Baltimore Annapolis Blvd
Suite 300
Severna Park, MD 21146-4700
Phone
(410) 294-0152
NPI assigned
Jan 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16371 MD Primary

Addresses

Primary practice location

877 Baltimore Annapolis Blvd
Suite 300
Severna Park, MD 21146-4700

Mailing address

2307 Sebastian CT
Gambrills, MD 21054-2156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16371MDMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1003054867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 SEBASTIAN CT",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210542156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "SUITE 300",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464700",
            "telephone_number": "410-294-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMINITI",
        "first_name": "KRISTEN",
        "middle_name": "MARY DEBOY",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.