Active NPI
Kristina Lee Kincaid, LCSW-C
- School Social Worker
- Ellicott City, MD
National Provider Identifier
1518725720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 26686
- Practice address
- 10914 Clarksville Pike
Ellicott City, MD 21042-6106 - Phone
- (410) 313-7081
- Fax
- (410) 313-7130
- NPI assigned
- Mar 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26686 | MD | |
| School Social Worker | 1041S0200X | 26686 | MD | Primary |
Addresses
Primary practice location
10914 Clarksville Pike
Ellicott City, MD 21042-6106
Mailing address
10914 Clarksville Pike
Ellicott City, MD 21042-6106
Phone (410) 313-7081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26686 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1518725720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10914 CLARKSVILLE PIKE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210426106",
"telephone_number": "410-313-7081",
"fax_number": "410-313-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10914 CLARKSVILLE PIKE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210426106",
"telephone_number": "410-313-7081",
"fax_number": "410-313-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCAID",
"first_name": "KRISTINA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-12",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "26686",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MD",
"license": "26686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.