Active NPI
Kaitlin M Waldrip, LCSW C
- Social Worker
- St Michaels, MD
National Provider Identifier
1326007634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 06847
- Practice address
- 1013 Talbot St
Unit L
St Michaels, MD 21663 - Phone
- (410) 745-5020
- Fax
- (410) 745-0492
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 06847 | MD | Primary |
Addresses
Primary practice location
1013 Talbot St
Unit L
St Michaels, MD 21663
Mailing address
PO Box 660
301 Randolph St
Denton, MD 21629
Phone (410) 479-4306
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 |
|---|---|---|---|
| 06847 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choptank Community Health System Inc | 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.
-
- Federally Qualified Health Center (FQHC)
- Federalsburg, MD
- NPI 1306678537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186099200000",
"number": "1326007634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660",
"address_2": "301 RANDOLPH ST",
"city": "DENTON",
"state": "MD",
"postal_code": "21629",
"telephone_number": "410-479-4306",
"fax_number": "410-479-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 TALBOT ST",
"address_2": "UNIT L",
"city": "ST MICHAELS",
"state": "MD",
"postal_code": "21663",
"telephone_number": "410-745-5020",
"fax_number": "410-745-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRIP",
"first_name": "KAITLIN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCSW C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2007-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "06847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Michaels, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.