Individual provider Active NPI

Katherine Gemmell Bostick, LCSW, MPH

  • Clinical Social Worker
  • New Windsor, MD
National Provider Identifier
1588970495
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32759 Issued in MD
Practice address
3695 Hooper Rd
New Windsor, MD 21776-8109
Phone
(240) 543-1390
NPI assigned
Aug 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149017382 IL
Clinical Social Worker 1041C0700X 32759 MD Primary

Addresses

Primary practice location

3695 Hooper Rd
New Windsor, MD 21776-8109

Mailing address

3695 Hooper Rd
New Windsor, MD 21776-8109
Phone (240) 543-1390

Other names 1

  • Katherine Michelle Gemmell Former name

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

LicenseStateTypeSpecialty
149017382ILMDClinical Social Worker
32759MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Bostick LLC Clinical CurrentSince Feb 23, 2025 Accepting new patients
Bostick Enterprises, Inc CurrentSince Dec 8, 2024 Accepting new patients

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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1588970495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 HOOPER RD",
            "city": "NEW WINDSOR",
            "state": "MD",
            "postal_code": "217768109",
            "telephone_number": "240-543-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 HOOPER RD",
            "city": "NEW WINDSOR",
            "state": "MD",
            "postal_code": "217768109",
            "telephone_number": "240-543-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTICK",
        "first_name": "KATHERINE",
        "middle_name": "GEMMELL",
        "credential": "LCSW, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017382",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "32759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "GEMMELL",
            "middle_name": "MICHELLE",
            "credential": "LCSW, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Windsor, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.