Kelly Schroeder, LCSW-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17659 Issued in MD

Practice address

1716 Harford Rd
Suite 204
Fallston, MD 21047-2643

Phone

(410) 877-7207

Fax

(410) 877-7224

NPI assigned

Oct 30, 2013

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kilgalen Associates PAGroup PAC ID 1557318854, 5 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Kilgalen Associates PA

  • Clinical Social Worker
  • Fallston, MD
  • NPI 1861598484
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1104254069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 HARFORD RD",
            "address_2": "SUITE 204",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472643",
            "telephone_number": "410-877-7207",
            "fax_number": "410-877-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 HARFORD RD",
            "address_2": "SUITE 204",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472643",
            "telephone_number": "410-877-7207",
            "fax_number": "410-877-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "KELLY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "17659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William K Roth Jr., DDS
• Sabtox Clinical Lab, LLC
• Sai Pharma LLC
• Lisa Schafer
• Alan R Scharf, DDS.FAGD
• David W Schrumpf, PH.D.
• Geraldine Ahern Scott, PT, MPT
• Joseph Henry Seipp III, D.D.S.
• Speakeasy Health and Wellness
• Danielle Spitelle

• Mental Health Counselor in Fallston, MD
• Providers in Fallston, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.