Active NPI
Nicole Jean Kaiser, LCSW
- Social Worker
- Baltimore, MD
National Provider Identifier
1104937986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13630
- Practice address
- 3900 Loch Raven Blvd
Baltimore, MD 21218-2108 - Phone
- (410) 605-7633
- Fax
- (410) 605-7691
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 13630 | MD | Primary |
Addresses
Primary practice location
3900 Loch Raven Blvd
Baltimore, MD 21218-2108
Mailing address
2131 Beach Dr
Pasadena, MD 21122-5705
Phone (410) 255-5519
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 |
|---|---|---|---|
| 13630 | MD | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463184000000",
"number": "1104937986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 BEACH DR",
"city": "PASADENA",
"state": "MD",
"postal_code": "211225705",
"telephone_number": "410-255-5519",
"fax_number": "410-605-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 LOCH RAVEN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212182108",
"telephone_number": "410-605-7633",
"fax_number": "410-605-7691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "NICOLE",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2016-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "13630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Baltimore Harbor Medical Center Laboratory)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Woodlawn Infusion Pharmacy)
- James Kaiser, M.D.
- Katherine Anne Kaiser, LCPC
- Lauren Tracy Kaiser, PH.D., NCSP
- Rinata Kaiser
- Shannon Jane Kaiser, DDS
- Hannah Kaizer
- Smile Kajal, MD
- Agnes Magne Kaje, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.