Individual provider Active NPI

James F Kilgalen, LCSWC

  • Clinical Social Worker
  • Fallston, MD
National Provider Identifier
1447466172
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03374 Issued in MD
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
900001684001OtherMDAPS HEALTHCARE
52173890589090OtherMDCIGNA BEHAVIORAL HEALTH
2226337OtherMDAETNA HEALTH MGMT LLC
T460OtherMDBLUE CHOICE
221275OtherMDCOMPSYCH
KC83OtherMDCAREFIRST 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000473 MD Practitioner - Clinical Social Worker 1355447186 Reassigns benefits to 1 organization

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
Kilgalen Associates PAGroup PAC ID 1557318854, 5 clinicians

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

LicenseStateTypeSpecialty
3374MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kilgalen Associates PA Clinical CurrentSince Jul 24, 2000 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.

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

Verify at the official NPI Registry.