Active NPI
James F Kilgalen, LCSWC
- Clinical Social Worker
- Fallston, MD
National Provider Identifier
1447466172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 03374
- Practice address
- 1716 Harford Rd
Suite 204
Fallston, MD 21047-2643 - Phone
- (410) 877-7207
- Fax
- (410) 877-7224
- NPI assigned
- May 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 03374 | MD | Primary |
Addresses
Primary practice location
1716 Harford Rd
Suite 204
Fallston, MD 21047-2643
Mailing address
1716 Harford Rd
Suite 204
Fallston, MD 21047-2643
Phone (410) 877-7207
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900001684001 | Other | MD | APS HEALTHCARE |
| 52173890589090 | Other | MD | CIGNA BEHAVIORAL HEALTH |
| 2226337 | Other | MD | AETNA HEALTH MGMT LLC |
| T460 | Other | MD | BLUE CHOICE |
| 221275 | Other | MD | COMPSYCH |
| KC83 | Other | MD | CAREFIRST BLUE CROSS BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1716 Harford Rd
Suite 204
Fallston, MD 21047-2699
Phone (410) 877-7207
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3374 | MD | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kilgalen Associates PA | Clinical | Current | Accepting new patients |
Locations
1716 Harford Rd
Ste 204
Fallston, MD 21047
Phone (410) 877-7207
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.
-
- Clinical Social Worker
- Fallston, MD
- NPI 1861598484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447466172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 HARFORD RD",
"address_2": "SUITE 204",
"city": "FALLSTON",
"state": "MD",
"postal_code": "210472643",
"telephone_number": "410-877-7207",
"fax_number": "410-877-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 HARFORD RD",
"address_2": "SUITE 204",
"city": "FALLSTON",
"state": "MD",
"postal_code": "210472643",
"telephone_number": "410-877-7207",
"fax_number": "410-877-7224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGALEN",
"first_name": "JAMES",
"middle_name": "F",
"credential": "LCSWC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "03374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS HEALTHCARE",
"identifier": "900001684001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "52173890589090",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH MGMT LLC",
"identifier": "2226337",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "T460",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "221275",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE CROSS BLUE",
"identifier": "KC83",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fallston, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.