Individual provider Active NPI

Kathryn Ulrich Tsai, LCSW-C

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1366772824
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06106 Issued in MD
Practice address
4942 Reedy Brook LN
Columbia, MD 21044-1514
Phone
(410) 997-7171
Fax
(410) 730-9222
NPI assigned
Jan 6, 2010
Last updated
Jan 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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 06106 MD Primary

Addresses

Primary practice location

4942 Reedy Brook LN
Columbia, MD 21044-1514

Mailing address

4942 Reedy Brook LN
Columbia, MD 21044-1514
Phone (410) 997-7171

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
06106MDMDClinical Social Worker
6106MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1366772824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 REEDY BROOK LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441514",
            "telephone_number": "410-997-7171",
            "fax_number": "410-730-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4942 REEDY BROOK LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441514",
            "telephone_number": "410-997-7171",
            "fax_number": "410-730-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "KATHRYN",
        "middle_name": "ULRICH",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.