Active NPI
Kimberly Holochwost Colquhoun, LCSW-C
- Clinical Social Worker
- Edgewater, MD
National Provider Identifier
1295004042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13922
- Practice address
- 2600 Solomons Island Rd
Edgewater, MD 21037-1102 - Phone
- (433) 433-5900
- NPI assigned
- Dec 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13922 | MD | Primary |
Addresses
Primary practice location
2600 Solomons Island Rd
Edgewater, MD 21037-1102
Mailing address
2600 Solomons Island Road
Edgewater, MD 21037
Phone (443) 433-5900
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481846400000",
"number": "1295004042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 SOLOMONS ISLAND ROAD",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "21037",
"telephone_number": "443-433-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 SOLOMONS ISLAND RD",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210371102",
"telephone_number": "433-433-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLQUHOUN",
"first_name": "KIMBERLY",
"middle_name": "HOLOCHWOST",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-23",
"last_updated": "2016-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "13922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater, MD
- Cohen & Cohen Partnership
- Adam L Cohen, DC
- Jay H Cohen, DC
- Collective Transformation Health Services
- Barbara Lynne Collins, MS, NCC, LCPC
- Lindsey R Combs, FNP-C
- Compassionate Mind Coaching & Counseling, LLC
- Erin Ragan Cooper, DPT
- Ardeen Patricia Copeland-Lupton, LCSW-C
- Dorothea Thompson Copeland, OTD, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.