Kenneth McAuliffe

Primary specialty

Social WorkerTaxonomy code 104100000X

License

14555 Issued in MD

Practice address

9475 Lottsford Rd
Suite 250
Largo, MD 20774-5357

Phone

(301) 636-6504

Fax

(301) 636-6509

NPI assigned

Aug 8, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1013296102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 LOTTSFORD RD",
            "address_2": "SUITE 250",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745357",
            "telephone_number": "301-636-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 LOTTSFORD RD",
            "address_2": "SUITE 250",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745357",
            "telephone_number": "301-636-6504",
            "fax_number": "301-636-6509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5820 York Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212123620",
            "country_code": "US",
            "telephone_number": "410-800-2169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCAULIFFE",
        "first_name": "KENNETH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "14555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND SOCIAL WORK LICENSE NUMBER",
            "identifier": "14555",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jatin R Matta, PA-C, MPAS
• Earl John D Mauricio, M.D.
• May Thu Thu Maw, MBBS, MPH
• Yvonne Abonge Mba, PMHNP
• Rokhaya Mbaye, NP
• Jerry Wendell McConnell, M.D.
• Mary Kathleen McFalls, M.S.,R.D., L.D.
• April A McIver, M.D.
• Charmaine Andra McKie, PHD, MPH, RN
• Sonya L McMillan, LCPC, LCADC

• Social Worker in Largo, MD
• Providers in Largo, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.