Kathleen a. Nardella, LCSW-C, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14995 Issued in MD

Legal business name

KATHLEEN A. NARDELLA, LCSW-C, LLC

Practice address

6203 Executive Blvd
Rockville, MD 20852-3906

Phone

(301) 775-5373

NPI assigned

Jan 1, 2014

Organization subpart

No

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

Authorized official

Name

Kathleen A Nardella, JD, LCSW-C, LICSW

Title

Owner

Phone

(301) 775-5373

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1388534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388534400000",
    "number": "1124449673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FORTUNE TER STE C",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542910",
            "telephone_number": "301-775-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6203 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523906",
            "telephone_number": "301-775-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN A. NARDELLA, LCSW-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-01",
        "last_updated": "2014-01-01",
        "status": "A",
        "authorized_official_last_name": "NARDELLA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-775-5373",
        "authorized_official_credential": "JD, LCSW-C, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1275971277",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Rockville, MD
• Providers in Rockville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.