Individual provider Active NPI

Khaliah Sweeney

  • Social Worker
  • Rockville, MD
National Provider Identifier
1598538183
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LG200002644 Issued in DC
Practice address
11140 Rockville Pike Ste 602
Rockville, MD 20852-3184
Phone
(301) 591-6830
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LG200002644 DC Primary

Addresses

Primary practice location

11140 Rockville Pike Ste 602
Rockville, MD 20852-3184

Mailing address

3945 Burns PL SE
Washington, DC 20019-3280
Phone (202) 277-9803

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
LG200002644DCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kyn Health CurrentSince Nov 12, 2023 Accepting new patients
One Mental Health LLC - Rockville PastSince Nov 12, 2023 Accepting new patients

Locations

11140 Rockville Pike
Ste 602
Rockville, MD 20852
Phone (301) 591-6830

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": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1598538183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 BURNS PL SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193280",
            "telephone_number": "202-277-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE STE 602",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523184",
            "telephone_number": "301-591-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "KHALIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG200002644",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 6, 2023; 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.