Gabriel Gediminas Kajeckas, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003477 Issued in MD

Practice address

4848 Battery LN Ste 202
Bethesda, MD 20814-2703

Phone

(703) 216-8390

NPI assigned

Aug 4, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1336370790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11604 HUNTERS GREEN CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913506",
            "telephone_number": "703-216-8390",
            "fax_number": "703-716-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 BATTERY LN STE 202",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142703",
            "telephone_number": "703-216-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAJECKAS",
        "first_name": "GABRIEL",
        "middle_name": "GEDIMINAS",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "0904003477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.