Individual provider Active NPI

Stephanie Mary Kestler, LCSW-C

  • Clinical Social Worker
  • Millersville, MD
National Provider Identifier
1265659031
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07685 Issued in MD
Practice address
8258 Veterans Hwy
Suite 13
Millersville, MD 21108-1457
Phone
(410) 768-6088
Fax
(410) 768-6444
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 07685 MD Primary

Addresses

Primary practice location

8258 Veterans Hwy
Suite 13
Millersville, MD 21108-1457

Mailing address

8258 Veterans Hwy
Suite 13
Millersville, MD 21108-1457
Phone (410) 768-6088

Other identifiers 1

IdentifierTypeStateIssuer
442240600MedicaidMD

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
I20050927000500 MD Practitioner - Clinical Social Worker 3779517966 Reassigns benefits to 1 organization
Practice locations: Columbia, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arundel Mental Health Professionals LCGroup PAC ID 4981688173, 118 clinicians

Practice addresses (Care Compare)

1662 Village GRN
Crofton, MD 21114-2014
Phone (410) 757-2077

8258 Veterans Hwy
Suite 13
Millersville, MD 21108-1564
Phone (410) 768-6088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07685MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals L.C. CurrentSince Aug 1, 2022 Accepting new patients

Locations

1662 Village Grn
#B
Crofton, MD 21114

8258 Veterans Hwy
Ste 13
Millersville, MD 21108
Phone (410) 768-6088

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1265659031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8258 VETERANS HWY",
            "address_2": "SUITE 13",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081457",
            "telephone_number": "410-768-6088",
            "fax_number": "410-768-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8258 VETERANS HWY",
            "address_2": "SUITE 13",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081457",
            "telephone_number": "410-768-6088",
            "fax_number": "410-768-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTLER",
        "first_name": "STEPHANIE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442240600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

Verify at the official NPI Registry.