Active NPI
Anna Kholodnov, LCSW-C
- Clinical Social Worker
- Kensington, MD
National Provider Identifier
1376912626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MD17642
- Practice address
- 10410 Kensington Pkwy Ste 223
Kensington, MD 20895-2947 - Phone
- (240) 498-9867
- NPI assigned
- Sep 16, 2015
- Last updated
- Apr 18, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MD17642 | MD | Primary |
Addresses
Primary practice location
10410 Kensington Pkwy Ste 223
Kensington, MD 20895-2947
Mailing address
14229 Georgia Ave Apt 201
Silver Spring, MD 20906-2761
Phone (240) 498-9867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180314001832 | DC | Practitioner - Clinical Social Worker | 0244592053 | Practice locations: Rockville, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18700 Woodway Dr
Rockville, MD 20855-1466
Phone (240) 498-9867
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17642 | MD | MD | Clinical Social Worker |
| 17642 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1376912626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14229 GEORGIA AVE APT 201",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209062761",
"telephone_number": "240-498-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10410 KENSINGTON PKWY STE 223",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208952947",
"telephone_number": "240-498-9867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOLODNOV",
"first_name": "ANNA",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "MD17642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.