Individual provider Active NPI

Ka Y Wong, LCSW-C

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1083152193
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21161 Issued in MD
Practice address
27 Courthouse SQ Ste 101
Rockville, MD 20850-2308
Phone
(240) 676-1940
NPI assigned
Feb 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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 21161 MD Primary

Addresses

Primary practice location

27 Courthouse SQ Ste 101
Rockville, MD 20850-2308

Mailing address

27 Courthouse SQ Ste 101
Rockville, MD 20850-2308
Phone (240) 676-1940

Other practice location 1

191 E Jefferson St # 620
Rockville, MD 20850-2630
Phone (301) 563-8595

Other practice location 2

50 Maryland Ave
Rockville, MD 20850-2320
Phone (240) 773-3905

Other practice location 3

9037 Shady Grove Ct
Gaithersburg, MD 20877-1301
Phone (240) 720-7099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805002652 DC Practitioner - Clinical Social Worker 7214474535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Maryland GovernmentGroup PAC ID 4981675477, 22 clinicians

Practice addresses (Care Compare)

255 Rockville Pike
Suite 145
Rockville, MD 20850-5136
Phone (240) 777-4891

401 Hungerford Dr
Rockville, MD 20850-4154
Phone (301) 217-1345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21161MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Maryland Government CurrentSince May 17, 2024 Accepting new patients
Montgomery County Maryland Government CurrentSince May 17, 2024 Accepting new patients
Montgomery County Maryland Government Current Accepting new patients
Montgomery County Maryland Government CurrentSince Feb 23, 2025 Accepting new patients
Montgomery County Maryland Government PastSince Jul 21, 2024 Accepting new patients

Locations

401 Hungerford Dr
Ste 500
Rockville, MD 20850
Phone (301) 217-1345

401 Hungerford Dr
Fl 6
Rockville, MD 20850

27 Courthouse Sq
Ste 101
Rockville, MD 20850
Phone (240) 676-1940

Interoperability endpoints

  • Direct secure messaging: ka.wong.p1@direct.mcg-hhs.nextgenshare.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1083152193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COURTHOUSE SQ STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502308",
            "telephone_number": "240-676-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 COURTHOUSE SQ STE 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502308",
            "telephone_number": "240-676-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 E Jefferson St # 620",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208502630",
            "country_code": "US",
            "telephone_number": "301-563-8595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208502320",
            "country_code": "US",
            "telephone_number": "240-773-3905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9037 Shady Grove Ct",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208771301",
            "country_code": "US",
            "telephone_number": "240-720-7099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "KA",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.