Kala Farrare, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21275 Issued in MD

Practice address

28205 Rockawalkin Ridge Rd
Salisbury, MD 21801-2107

Phone

(443) 735-8807

NPI assigned

Jul 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, DC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC, GA

  Medicare reassignment NPD
• The Guiding Light Wellness Center

  • Clinical Social Worker
  • Salisbury, MD
  • NPI 1043025026
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1619585726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28205 ROCKAWALKIN RIDGE RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012107",
            "telephone_number": "443-735-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28205 ROCKAWALKIN RIDGE RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012107",
            "telephone_number": "443-735-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRARE",
        "first_name": "KALA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avraham Failaev, PHARMD
• Erin Failaev, PA-C
• Jeffrey Craig Farace, RPH
• Aneeza Farooq
• D'Ericco Farrare
• Larry Farrare I, M.ED CAC-AD
• Dana Rene Fasanella, PHARMD
• Maxime Fatal
• Seemab Fatima
• Cole Lane Faulkner, DO

• Clinical Social Worker in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.