Active NPI
Kevin Scott Hollander, LMSW
- Clinical Social Worker
- Olney, MD
National Provider Identifier
1144791971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23155
- Practice address
- 17904 Georgia Ave Ste 200
Olney, MD 20832-2277 - Phone
- (410) 967-2339
- NPI assigned
- Dec 5, 2018
- Sex
- Male
- 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 | 23155 | Primary |
Addresses
Primary practice location
17904 Georgia Ave Ste 200
Olney, MD 20832-2277
Mailing address
1413 T St NW Apt 403
Washington, DC 20009-3957
Phone (410) 967-2339
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Resilience Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Eldersburg, MD
- NPI 1669337226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1144791971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 T ST NW APT 403",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200093957",
"telephone_number": "410-967-2339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17904 GEORGIA AVE STE 200",
"city": "OLNEY",
"state": "MD",
"postal_code": "208322277",
"telephone_number": "410-967-2339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLANDER",
"first_name": "KEVIN",
"middle_name": "SCOTT",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "23155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.