Individual provider Active NPI

Alan Kutner, LMSW

  • Social Worker
  • Nottingham, MD
National Provider Identifier
1306213095
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
23667 Issued in MD
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

Updated by the provider on Jul 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
23667MDMDPharmacist

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.

Verify at the official NPI Registry.