Individual provider Active NPI

Katie Besche, LCSW-C

  • Clinical Social Worker
  • West Friendship, MD
National Provider Identifier
1639647779
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14865 Issued in MD
Practice address
12800 Frederick Rd Ste 201
West Friendship, MD 21794-9564
Phone
(804) 814-3346
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14865 MD Primary

Addresses

Primary practice location

12800 Frederick Rd Ste 201
West Friendship, MD 21794-9564

Mailing address

2808 Rustic Manor CT
Glenwood, MD 21738-9747
Phone (804) 814-3346

Other practice location 1

203 Cross St
Mount Airy, MD 21771-5441
Phone (804) 814-3346

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
14865MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1639647779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 RUSTIC MANOR CT",
            "city": "GLENWOOD",
            "state": "MD",
            "postal_code": "217389747",
            "telephone_number": "804-814-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 FREDERICK RD STE 201",
            "city": "WEST FRIENDSHIP",
            "state": "MD",
            "postal_code": "217949564",
            "telephone_number": "804-814-3346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Cross St",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "MD",
            "postal_code": "217715441",
            "country_code": "US",
            "telephone_number": "804-814-3346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BESCHE",
        "first_name": "KATIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Friendship, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.