Active NPI
Kairo Vivas, LCSW-C
- Clinical Social Worker
- Pikesville, MD
National Provider Identifier
1407124217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17447
- Practice address
- 8 Reservoir Cir Ste 105
Pikesville, MD 21208-6362 - Phone
- (202) 670-3704
- NPI assigned
- Dec 7, 2011
- Last updated
- Feb 20, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17447 | MD | Primary |
| School Social Worker | 1041S0200X | LC50081219 | DC |
Addresses
Primary practice location
8 Reservoir Cir Ste 105
Pikesville, MD 21208-6362
Mailing address
8 Reservoir Cir Ste 105
Pikesville, MD 21208-6362
Phone (202) 250-9008
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 |
|---|---|---|---|
| LC50081219 | DC | MD | School Social Worker |
| 17447 | MD | MD | Orthopedic Physical Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba VIVA Counseling and Consulting LLC
- Clinical Social Worker
- Pikesville, MD
- NPI 1306421086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1407124217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 RESERVOIR CIR STE 105",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212086362",
"telephone_number": "202-250-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 RESERVOIR CIR STE 105",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212086362",
"telephone_number": "202-670-3704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIVAS",
"first_name": "KAIRO",
"name_prefix": "Mr.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-07",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "17447",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "DC",
"license": "LC50081219",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.