Individual provider Active NPI

Kim Casey Scagnelli, L.C.S.W. - C

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1154433282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
06977 Issued in MD
Practice address
1702 South Rd
Baltimore, MD 21209-4504
Phone
(410) 367-6545
Fax
(410) 367-8158
NPI assigned
Aug 31, 2006
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
Mental Health Counselor 101YM0800X 06977 MD Primary

Addresses

Primary practice location

1702 South Rd
Baltimore, MD 21209-4504

Mailing address

1702 South Rd
Baltimore, MD 21209-4504
Phone (410) 367-6545

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

OrganizationSpecialtyStatusNew patients
Physical Therapy for Women'S Health, LLC 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.

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": "1183852800000",
    "number": "1154433282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 SOUTH RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094504",
            "telephone_number": "410-367-6545",
            "fax_number": "410-367-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 SOUTH RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094504",
            "telephone_number": "410-367-6545",
            "fax_number": "410-367-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAGNELLI",
        "first_name": "KIM",
        "middle_name": "CASEY",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W. - C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "06977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.