Individual provider Active NPI

Kaitlyn Marie Rosa, LMSW

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1154911451
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
24853 Issued in MD
Practice address
6999 Reisterstown Rd Ste 4
Baltimore, MD 21215-1492
Phone
(443) 424-8226
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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 24853 MD Primary

Addresses

Primary practice location

6999 Reisterstown Rd Ste 4
Baltimore, MD 21215-1492

Mailing address

6999 Reisterstown Rd Ste 4
Baltimore, MD 21215-1492
Phone (443) 424-8226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250829002224 MD Practitioner - Clinical Social Worker 1951802032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Catholic Charities IncGroup PAC ID 8527101351, 42 clinicians

Practice addresses (Care Compare)

1111 Benfield Blvd
Suite 200
Millersville, MD 21108-3004
Phone (667) 600-2494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24853MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Catholic Charities, Inc CurrentSince Aug 1, 2025 Accepting new patients
Associated Catholic Charities, Inc. Current Accepting new patients
Associated Catholic Charities, Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

6999 Reisterstown Rd
Ste 4
Baltimore, MD 21215
Phone (667) 600-3046

2700 Washington Ave
Lansdowne, MD 21227
Phone (667) 600-3984

1111 Benfield Blvd
Ste 200
Millersville, MD 21108
Phone (410) 729-5100

2300 Dulaney Valley Rd
Ste B
Timonium, MD 21093

Organizations & group practices 3

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": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1154911451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6999 REISTERSTOWN RD STE 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151492",
            "telephone_number": "443-424-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6999 REISTERSTOWN RD STE 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151492",
            "telephone_number": "443-424-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "24853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.