Individual provider Active NPI

Katherine M Will, LMSW

  • Social Worker
  • Nottingham, MD
National Provider Identifier
1619509015
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
23795 Issued in MD
Practice address
5022 Campbell Blvd # 4969
Nottingham, MD 21236-4969
Phone
(410) 404-8512
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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 23795 MD Primary

Addresses

Primary practice location

5022 Campbell Blvd # 4969
Nottingham, MD 21236-4969

Mailing address

9101 Covered Bridge Rd
Parkville, MD 21234-2511
Phone (410) 404-8512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230512001262 MD Practitioner - Clinical Social Worker 7214393495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stacy Stoddard Lcmft and Associates PAGroup PAC ID 7315000114, 6 clinicians

Practice addresses (Care Compare)

602 Providence Rd
Towson, MD 21286-5503
Phone (410) 583-7443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23795MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stacy Stoddard Lcmft and Associates PA CurrentSince Nov 21, 2024 Accepting new patients
Aspire Wellness Center, Inc. CurrentSince Apr 24, 2023 Accepting new patients

Locations

5022 Campbell Blvd
#4969
Nottingham, MD 21236
Phone (443) 422-1568

5022 Campbell Blvd
Ste Lm
Nottingham, MD 21236
Phone (443) 442-1568

602 Providence Rd
Towson, MD 21286
Phone (410) 583-7443

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1619509015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 COVERED BRIDGE RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342511",
            "telephone_number": "410-404-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 CAMPBELL BLVD # 4969",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364969",
            "telephone_number": "410-404-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILL",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "23795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.