Active NPI
Kelly Lynn Weinberg
- Clinical Social Worker
- Towson, MD
National Provider Identifier
1164086146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11436
- Practice address
- 828 Dulaney Valley Rd Ste 12
Towson, MD 21204-2822 - Phone
- (443) 541-5411
- Fax
- (443) 541-5411
- NPI assigned
- Apr 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 11436 | MD | Primary |
Addresses
Primary practice location
828 Dulaney Valley Rd Ste 12
Towson, MD 21204-2822
Mailing address
828 Dulaney Valley Rd Ste 12
Towson, MD 21204-2822
Phone (443) 541-5411
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11436 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1164086146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 DULANEY VALLEY RD STE 12",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042822",
"telephone_number": "443-541-5411",
"fax_number": "443-541-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 DULANEY VALLEY RD STE 12",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042822",
"telephone_number": "443-541-5411",
"fax_number": "443-541-5411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "KELLY",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-25",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "11436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.