NPIMap

Individual provider Active NPI

Kathy Metcalf, LCSW-C

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1306143714
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08155 Issued in MD
Practice address
28 Allegheny Ave
Suite 510
Towson, MD 21204-3909
Phone
(443) 834-2370
Fax
(410) 828-6262
NPI assigned
Feb 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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 08155 MD Primary

Addresses

Primary practice location

28 Allegheny Ave
Suite 510
Towson, MD 21204-3909

Mailing address

28 Allegheny Ave
Suite 510
Towson, MD 21204-3909
Phone (443) 834-2370

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08155MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Counseling & Wellness Center, LLC Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1306143714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ALLEGHENY AVE",
            "address_2": "SUITE 510",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212043909",
            "telephone_number": "443-834-2370",
            "fax_number": "410-828-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ALLEGHENY AVE",
            "address_2": "SUITE 510",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212043909",
            "telephone_number": "443-834-2370",
            "fax_number": "410-828-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALF",
        "first_name": "KATHY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.