Individual provider Active NPI

Kathleen Robin Estep, LCSW-C

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1124165204
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7062 Issued in MD
Practice address
9975 Lake Landing Rd
Gaithersburg, MD 20886-0603
Phone
(301) 977-9492
Fax
(301) 230-3169
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7062 MD Primary

Addresses

Primary practice location

9975 Lake Landing Rd
Gaithersburg, MD 20886-0603

Mailing address

9975 Lake Landing Rd
Gaithersburg, MD 20886-0603
Phone (301) 977-9492

Other identifiers 1

IdentifierTypeStateIssuer
2840OtherMDCAREFIRST NCA PROVIDER

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080314000254 DC Practitioner - Clinical Social Worker 0840375895 Practice locations: Gaithersburg, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9975 Lake Landing Rd
Gaithersburg, MD 20886-0603
Phone (240) 994-0436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7062MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124165204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9975 LAKE LANDING RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208860603",
            "telephone_number": "301-977-9492",
            "fax_number": "301-230-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 LAKE LANDING RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208860603",
            "telephone_number": "301-977-9492",
            "fax_number": "301-230-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEP",
        "first_name": "KATHLEEN",
        "middle_name": "ROBIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "7062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST NCA PROVIDER",
            "identifier": "2840",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.