Kerry Lynn Hospelhorn, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10615 Issued in MD

Practice address

1700 Abelia Rd
Fallston, MD 21047-1755

Phone

(410) 428-2191

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

West Cecil Health Center Inc. 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6703/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/DAHIAD

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.

• West Cecil Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Conowingo, MD
  • NPI 1366625089

  MD

  Medicare reassignment Care Compare group NPD
• West Cecil Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Elkton, MD
  • NPI 1083409536
  Care Compare group NPD
• West Cecil Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Havre de Grace, MD
  • NPI 1437697273
  Care Compare group NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1174537112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ABELIA RD",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210471755",
            "telephone_number": "410-428-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ABELIA RD",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210471755",
            "telephone_number": "410-428-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSPELHORN",
        "first_name": "KERRY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "383050100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healing Harford LLC
• William Lawrence Henderson, PHARMD
• Jessica K Heriot, LCSWC
• Sara Hoffman, LCSW-C
• Jessica Elizabeth Holmes, CRNP
• Icare Transportation Services
• Integrative Brain Health LLC
• Sheena Rose Johlitz, CRNP
• William Michael Kenney, DDS MS
• Michael Kesselman, RPH

• All providers in Fallston, MD
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.