Individual provider Active NPI

Kalelei H Tawata, LCSW-C

  • Clinical Social Worker
  • Westminster, MD
National Provider Identifier
1093156259
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14772 Issued in MD
Practice address
250 Englar Rd Ste 10
Westminster, MD 21157-2927
Phone
(410) 294-9612
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 14772 MD Primary

Addresses

Primary practice location

250 Englar Rd Ste 10
Westminster, MD 21157-2927

Mailing address

629 Marpete Dr
Hampstead, MD 21074-1740
Phone (410) 294-9612

Other practice location 1

532 Baltimore Blvd Ste 311
Westminster, MD 21157-6119
Phone (410) 294-9612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250528000738 MD Practitioner - Clinical Social Worker 0446779961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Carroll LLC Clinical CurrentSince May 21, 2025 Accepting new patients
Healing Hearts Carroll LLC Clinical CurrentSince Sep 21, 2025 Accepting new patients

Locations

250 Englar Rd
Ste 10
Westminster, MD 21157
Phone (410) 249-9612

532 Baltimore Blvd
Ste 311
Westminster, MD 21157
Phone (410) 294-9612

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1093156259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 MARPETE DR",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210741740",
            "telephone_number": "410-294-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ENGLAR RD STE 10",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211572927",
            "telephone_number": "410-294-9612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "532 Baltimore Blvd Ste 311",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211576119",
            "country_code": "US",
            "telephone_number": "410-294-9612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAWATA",
        "first_name": "KALELEI",
        "middle_name": "H",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.