Organization Active NPI

Amk Therapeutic Services LLC

  • Clinical Social Worker
  • Brunswick, MD
National Provider Identifier
1508552662
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AMK THERAPEUTIC SERVICES LLC
Practice address
1205 Shenandoah View Pkwy
Brunswick, MD 21716-9776
Phone
(240) 708-1028
NPI assigned
Apr 12, 2023
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Annette Marion Kerr, LCSWNPI 1619400843
Title
Owner
Phone
(240) 707-1028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1205 Shenandoah View Pkwy
Brunswick, MD 21716-9776

Mailing address

1205 Shenandoah View Pkwy
Brunswick, MD 21716-9776
Phone (240) 708-1028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250829002983 MD Part B Supplier - Clinic/Group Practice 8022519131 Receives reassigned benefits from 2 practitioners
Practice locations: Brunswick, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1508552662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 SHENANDOAH VIEW PKWY",
            "city": "BRUNSWICK",
            "state": "MD",
            "postal_code": "217169776",
            "telephone_number": "240-708-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 SHENANDOAH VIEW PKWY",
            "city": "BRUNSWICK",
            "state": "MD",
            "postal_code": "217169776",
            "telephone_number": "240-708-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMK THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-707-1028",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.