Organization Active NPI

Kara Zoolakis LCSW-C LLC

  • Clinical Social Worker
  • Owings Mills, MD
National Provider Identifier
1104400332
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KARA ZOOLAKIS LCSW-C LLC
Practice address
9199 Reisterstown Rd Ste 204B
Owings Mills, MD 21117-4593
Phone
(443) 871-6042
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kara Zoolakis, LCSW-CNPI 1679105118
Title
Clinical Social Worker
Phone
(443) 871-6042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9199 Reisterstown Rd Ste 204B
Owings Mills, MD 21117-4593

Mailing address

2917 Shaws Rd
Edgemere, MD 21219-2411
Phone (443) 871-6042

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://kara-zoolakis.clientsecure.me

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210729003874 MD Part B Supplier - Clinic/Group Practice 1951704758 Receives reassigned benefits from 1 practitioner
Practice locations: Timonium, MD

National Provider Directory

National Provider Directory

Locations

1301 York Rd
Ste 705
Timonium, MD 21093
Phone (410) 652-1461

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1104400332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 SHAWS RD",
            "city": "EDGEMERE",
            "state": "MD",
            "postal_code": "212192411",
            "telephone_number": "443-871-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD STE 204B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174593",
            "telephone_number": "443-871-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARA ZOOLAKIS LCSW-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "ZOOLAKIS",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "443-871-6042",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://kara-zoolakis.clientsecure.me",
            "affiliation": "N",
            "address_1": "9199 Reisterstown Rd Ste 204B",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211174593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.