Active NPI
Kara B Bolling, LCSW-C
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1275837007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1501 Sulgrave Ave
Suite 209
Baltimore, MD 21209 - Phone
- (240) 377-0753
- Fax
- (301) 309-2596
- NPI assigned
- Jan 9, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15002 | MD | |
| Clinical Social Worker | 1041C0700X | LC50078650 | DC | |
| Clinical Social Worker | 1041C0700X | MD | Primary |
Addresses
Primary practice location
1501 Sulgrave Ave
Suite 209
Baltimore, MD 21209
Mailing address
1501 Sulgrave Ave
Suite 209
Baltimore, MD 21209
Phone (240) 377-0753
Other names 1
- Ms. Kara Falck
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50078650 | DC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Suns Healing LLC | Clinical | Current | Accepting new patients |
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.
-
- Clinical Social Worker
- Ellicott City, MD
- NPI 1891432894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1275837007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SULGRAVE AVE",
"address_2": "SUITE 209",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21209",
"telephone_number": "240-377-0753",
"fax_number": "301-309-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SULGRAVE AVE",
"address_2": "SUITE 209",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21209",
"telephone_number": "240-377-0753",
"fax_number": "301-309-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLING",
"first_name": "KARA",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-09",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "15002",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50078650",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARA",
"last_name": "FALCK",
"prefix": "MS.",
"credential": "LCSW-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.