Loren Ketelsen, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

8415 Bellona LN Ste 203
Towson, MD 21204-2066

Phone

(410) 777-8151

NPI assigned

Feb 1, 2019

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deborah L Disney LCSW-C LLC

  • Clinical Social Worker
  • Towson, MD
  • NPI 1740647247
  Medicare reassignment NPD
• Kennedy Krieger Associates

  • Pediatrics Physician
  • Baltimore, MD
  • NPI 1871515783
  Medicare reassignment NPD
• Kennedy Krieger Associates

  • Pediatrics Physician
  • Middle River, MD
  • NPI 1841009842
  NPD

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1245795434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N ANN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 BELLONA LN STE 203",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042066",
            "telephone_number": "410-777-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Revere Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600628005",
            "country_code": "US",
            "telephone_number": "847-306-9843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETELSEN",
        "first_name": "LOREN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Marie Keo, M.S. CCC - SLP
• Kara Gioioso Keryakos, LCPC
• Rita Kesselman
• Dan Kessler, M.D.
• Ketamine Treatment Centers of Princeton, LLC (Actify Neurotherapies)
• Corey Ray Ketring, MA, CCC-SLP
• Key Point Health Services, Inc
• Key Point Health Services, Inc
• Key Point Health Services, Inc
• Allison Keyes, DDS

• Clinical Social Worker in Towson, MD
• Providers in Towson, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.