Suzan Eileen Kerpetenoglu, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

07875 Issued in MD

Practice address

10400 Ridgland Rd
Ste 1
Cockeysville, MD 21030-2715

Phone

(410) 628-6120

Fax

(410) 628-9825

NPI assigned

Apr 15, 2013

Last updated

Nov 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC

  Medicare reassignment NPD
• Della Behavioral Health Services

  dba CounterPoint Health Services

  • Psychologist
  • Columbia, MD
  • NPI 1750635207

  DC

  Medicare reassignment

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1023451556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 STANFORD BLVD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-628-6120",
            "fax_number": "410-628-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 RIDGLAND RD",
            "address_2": "STE 1",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302715",
            "telephone_number": "410-628-6120",
            "fax_number": "410-628-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERPETENOGLU",
        "first_name": "SUZAN",
        "middle_name": "EILEEN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Kimberly Kaplan
• John Cupram Karuma, LPN
• Rena Bracha Katzman
• Pamela Lynne Kemmerer
• Kerkvliet Counseling Associaites
• Katelyn Brooke Kerr, OTD, OTR/L
• Keystone Orthodontics LLC
• Gyeongwon Kim
• Dean Robert Kirschner, PHD LCSWC
• KMH Healthcare Corporation

• Clinical Social Worker in Cockeysville, MD
• Providers in Cockeysville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.