Active NPI
Alan Kutner, LMSW
- Social Worker
- Nottingham, MD
National Provider Identifier
1306213095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 23667
- Practice address
- 8114 Sandpiper Cir Ste 205
Nottingham, MD 21236 - Phone
- (443) 485-4573
- NPI assigned
- Aug 28, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 23667 | MD | Primary |
Addresses
Primary practice location
8114 Sandpiper Cir Ste 205
Nottingham, MD 21236
Mailing address
8114 Sandpiper Cir
Nottingham, MD 21236-4934
Phone (443) 485-5473
Other practice location 1
1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone (718) 375-1200 ext. 115
Other practice location 2
17 Warren Rd Ste 20B
Baltimore, MD 21208-5334
Phone (443) 485-4573
Other practice location 3
8114 Sandpiper Cir
Nottingham, MD 21236-4934
Phone (443) 585-4573
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23667 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1306213095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8114 SANDPIPER CIR",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364934",
"telephone_number": "443-485-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8114 SANDPIPER CIR STE 205",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "21236",
"telephone_number": "443-485-4573"
}
],
"practiceLocations": [
{
"address_1": "1623 Kings Hwy",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112291209",
"country_code": "US",
"telephone_number": "718-375-1200 x115",
"fax_number": "718-382-3358",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 Warren Rd Ste 20B",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212085334",
"country_code": "US",
"telephone_number": "443-485-4573",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8114 Sandpiper Cir",
"address_purpose": "LOCATION",
"city": "Nottingham",
"state": "MD",
"postal_code": "212364934",
"country_code": "US",
"telephone_number": "443-585-4573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUTNER",
"first_name": "ALAN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-28",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "23667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.