Active NPI
Nicole Kafka
- Clinical Social Worker
- Nottingham, MD
National Provider Identifier
1104312966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 7939 Honeygo Blvd Ste 224
Nottingham, MD 21236-5992 - Phone
- (410) 933-9700
- NPI assigned
- Jul 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
7939 Honeygo Blvd Ste 224
Nottingham, MD 21236-5992
Mailing address
7939 Honeygo Blvd Ste 224
Nottingham, MD 21236-5992
Phone (410) 933-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20000 | Other | MD | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20000 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1104312966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7939 HONEYGO BLVD STE 224",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212365992",
"telephone_number": "410-933-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7939 HONEYGO BLVD STE 224",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212365992",
"telephone_number": "410-933-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAFKA",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "20000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nottingham, MD
- Patricia Jones
- Rachel Brook Jones, OTR/L
- Tomeka Jones
- Thomasina Journette
- Mary Kabuga
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (White Marsh Medical Center)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Nottingham Rehabilitation Center)
- Sleiman Maroun Kallab
- Katherine J Kaltenheuser
- Chinyere Eke Kalu, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.