Individual provider Active NPI

Christine Kitchen, LCSWC

  • Clinical Social Worker
  • Hagerstown, MD
National Provider Identifier
1295935617
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14840 Issued in MD
Practice address
10435 Downsville Pike
Hagerstown, MD 21740-1732
Phone
(301) 766-8222
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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 14840 MD Primary

Addresses

Primary practice location

10435 Downsville Pike
Hagerstown, MD 21740-1732

Mailing address

18209 Roy Croft Dr
Hagerstown, MD 21740-1681
Phone (301) 992-4055

Other practice location 1

13215 Brook Lane
Hagerstown, MD 21742-1514
Phone (301) 733-0331 ext. 1146

Other names 1

  • Christine Kitchen Former name

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
I20101019000645 MD Practitioner - Clinical Social Worker 0648463901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wells House IncGroup PAC ID 8022545714, 5 clinicians

Practice addresses (Care Compare)

330 Frederick St
Hagerstown, MD 21740-6112
Phone (301) 739-7748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14840MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Early Intervention CurrentSince Oct 2, 2022 Accepting new patients
Board of Education of Washington County Clinical CurrentSince Oct 2, 2022 Accepting new patients
Brook Lane Behavioral Services, Inc. Current Accepting new patients
Wells House Inc CurrentSince Nov 7, 2024 Accepting new patients
Wells House Inc Past Accepting new patients

Locations

10435 Downsville Pike
Hagerstown, MD 21740
Phone (301) 766-2800

330 Frederick St
Hagerstown, MD 21740
Phone (240) 203-8864

Organizations & group practices 5

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1295935617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18209 ROY CROFT DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217401681",
            "telephone_number": "301-992-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 DOWNSVILLE PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217401732",
            "telephone_number": "301-766-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13215 Brook Lane",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217421514",
            "country_code": "US",
            "telephone_number": "301-733-0331 x1146",
            "fax_number": "301-733-4038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "CHRISTINE",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "KITCHEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.