Active NPI
Elisheva Frydman-Kates, LCSW-C
- Clinical Social Worker
- Reisterstown, MD
National Provider Identifier
1235684333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18062
- Practice address
- 37 Main St
Reisterstown, MD 21136-1236 - Phone
- (410) 526-7882
- Fax
- (410) 812-5644
- NPI assigned
- Aug 18, 2016
- Sex
- Female
- 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 | 18062 | MD | Primary |
Addresses
Primary practice location
37 Main St
Reisterstown, MD 21136-1236
Mailing address
37 Main St
Reisterstown, MD 21136-1236
Phone (410) 526-7882
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
37 Main St
Reisterstown, MD 21136-1236
Phone (410) 526-7882
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18062 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Mobile Treatment Associates Inc | Clinical | Current | Accepting new patients |
Locations
37 Main St
Reisterstown, MD 21136
Phone (410) 526-7882
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": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1235684333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 MAIN ST",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211361236",
"telephone_number": "410-526-7882",
"fax_number": "410-812-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 MAIN ST",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211361236",
"telephone_number": "410-526-7882",
"fax_number": "410-812-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYDMAN-KATES",
"first_name": "ELISHEVA",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "18062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.