Active NPI
Carol Kurtz Walsh, LCSW-C
- Clinical Social Worker
- Bethesda, MD
National Provider Identifier
1104097724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05506
- Practice address
- 4848 Battery LN
Suite 202
Bethesda, MD 20814-2709 - Phone
- (301) 656-6420
- NPI assigned
- Mar 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05506 | MD | Primary |
Addresses
Primary practice location
4848 Battery LN
Suite 202
Bethesda, MD 20814-2709
Mailing address
4848 Battery LN
Suite 202
Bethesda, MD 20814-2709
Phone (301) 656-6420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05506 | Other | MD | MARYLAND LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05506 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1104097724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4848 BATTERY LN",
"address_2": "SUITE 202",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142709",
"telephone_number": "301-656-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4848 BATTERY LN",
"address_2": "SUITE 202",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142709",
"telephone_number": "301-656-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "CAROL",
"middle_name": "KURTZ",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-24",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "05506",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND LICENSE",
"identifier": "05506",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.