Stephanie Michelle Kuldell, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

23950 Issued in MD

Practice address

12100 Raritan LN
Bowie, MD 20715-3217

Phone

(443) 752-3813

Fax

(443) 752-3813

NPI assigned

Sep 8, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Thrive Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Rosedale, MD
  • NPI 1053733378
  Medicare reassignment
• Thrive Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Silver Spring, MD
  • NPI 1306396163
  NPD
• Thrive Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1790156362
  NPD

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1508313354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 RARITAN LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153217",
            "telephone_number": "443-752-3813",
            "fax_number": "443-752-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 RARITAN LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153217",
            "telephone_number": "443-752-3813",
            "fax_number": "443-752-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULDELL",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "23950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550001",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609500300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kubb Physical Therapy
• Emilia Kubera Shelton, PT
• Olakunle Johnson Kuforiji
• Christine Marie Kujawa, MA NCC LCPC
• Cletus Jam Kukwa
• Thomas Bernard Kulish Jr.
• Sunaina Kumar, DDS
• Vallayil G Kurian, PHD
• Shailaja Kurli, PH.D.
• Nankwai Kwalmi

• Social Worker in Bowie, MD
• Providers in Bowie, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.

Verify at the official NPI Registry.