Kathleen Kearney Mahar, PH. D., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005229 Issued in VA

Practice address

3251 Chancellor Dr
Woodbridge, VA 22192-3345

Phone

(703) 490-6459

NPI assigned

Nov 10, 2007

Last updated

Jun 19, 2009By the provider in NPPES

Sex

Female

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

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Greater Baltimore Counseling Center, LLC

  • Clinical Psychologist
  • Glen Burnie, MD
  • NPI 1376616938

  DC

  Medicare reassignment NPD
• Oasis the Mental Health Center, LLC

  dba Oasis Behavioral Health Urgent Care

  • Psychiatry Physician
  • Glen Burnie, MD
  • NPI 1174606057

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1194652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1447430194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 CHANCELLOR DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923345",
            "telephone_number": "703-490-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 CHANCELLOR DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923345",
            "telephone_number": "703-490-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAR",
        "first_name": "KATHLEEN",
        "middle_name": "KEARNEY",
        "name_prefix": "Dr.",
        "credential": "PH. D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-10",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Maddox, SPECIALIST
• Krishna Prasad Madiraju, M.D.FAAP
• Ingrid Madison, LGSW
• Magnus Heart and Vascular, Inc.
• Laura Mahabir
• Yasir Mahboba
• Syed Khurram Mahboob, M.D
• Asif Mahmood, MD
• Desiree Debora Mahmoud
• Hien Thanh Mai, PHARMD

• Clinical Social Worker in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.