Active NPI
Kaltheen Marie Sisti, LGSW
- Social Worker
- Rockville, MD
National Provider Identifier
1588152771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 21082
- Practice address
- 3202 Tower Oaks Blvd Ste 100
Rockville, MD 20852-4219 - Phone
- (301) 468-1001
- Fax
- (301) 468-1101
- NPI assigned
- Apr 24, 2018
- Last updated
- Apr 24, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 21082 | MD | Primary |
Addresses
Primary practice location
3202 Tower Oaks Blvd Ste 100
Rockville, MD 20852-4219
Mailing address
3202 Tower Oaks Blvd Ste 100
Rockville, MD 20852-4219
Phone (301) 468-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21082 | Other | MD | LGSW GRADUATE |
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 |
|---|---|---|---|
| 21082 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1588152771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 TOWER OAKS BLVD STE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524219",
"telephone_number": "301-468-1001",
"fax_number": "301-468-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 TOWER OAKS BLVD STE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524219",
"telephone_number": "301-468-1001",
"fax_number": "301-468-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISTI",
"first_name": "KALTHEEN",
"middle_name": "MARIE",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "21082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LGSW GRADUATE",
"identifier": "21082",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.