Lakeitha Danielle Cabbagestalk

Primary specialty

Social WorkerTaxonomy code 104100000X

License

25749 Issued in MD

Practice address

1900 N Howard St Ste 300
Baltimore, MD 21218-5909

Phone

(443) 438-6742

Fax

(443) 773-5624

NPI assigned

Jun 22, 2020

Last updated

Jun 22, 2020By 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

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1033735410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N HOWARD ST STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185909",
            "telephone_number": "443-438-6742",
            "fax_number": "443-773-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N HOWARD ST STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185909",
            "telephone_number": "443-438-6742",
            "fax_number": "443-773-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABBAGESTALK",
        "first_name": "LAKEITHA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "25749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38-3876389",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Caballero, M.D.
• Magno Caballero
• Tania Maria Caballero, MD
• Paz Susan Cabanero-Johnson, PT
• Rita Canlas Cabatac, RN
• Julianna Cabrera
• John F Caccamese Jr., MD, DMD
• Suzanne M Caccamese, M.D.
• Juan Alfredo Caceres Noguera, M.D.
• Kristy Elizabeth Caceres, LCSW-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.