Individual provider Active NPI

Megan Malinda Kniffen, LCSW-C

  • Clinical Social Worker
  • Crofton, MD
National Provider Identifier
1487237764
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13127 Issued in MD
Practice address
2512 Chelmsford Dr
Crofton, MD 21114-1677
Phone
(301) 502-8331
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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 13127 MD Primary

Addresses

Primary practice location

2512 Chelmsford Dr
Crofton, MD 21114-1677

Mailing address

2512 Chelmsford Dr
Crofton, MD 21114-1677
Phone (301) 502-8331

Other names 1

  • Megan Malinda Rawlings Former name

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
I20210601002328 MD Practitioner - Clinical Social Worker 0143629782 Reassigns benefits to 2 organizations
Practice locations: Crofton, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

1910 Towne Centre Blvd
Suite 250
Annapolis, MD 21401-3599
Phone (866) 630-0966

2512 Chelmsford Dr
Crofton, MD 21114-1677
Phone (301) 241-8069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13127MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 28, 2021 Accepting new patients
Venus Counseling CurrentSince Aug 26, 2021 Accepting new patients

Locations

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1487237764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 CHELMSFORD DR",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141677",
            "telephone_number": "301-502-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 CHELMSFORD DR",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141677",
            "telephone_number": "301-502-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIFFEN",
        "first_name": "MEGAN",
        "middle_name": "MALINDA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "RAWLINGS",
            "middle_name": "MALINDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.