Active NPI
Kathleen Healy, LCSW-C
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1639846520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21875
- Practice address
- 301 Saint Paul St # 309
Baltimore, MD 21202-2102 - Phone
- (443) 449-5604
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21875 | MD | Primary |
Addresses
Primary practice location
301 Saint Paul St # 309
Baltimore, MD 21202-2102
Mailing address
626 Berry St
Baltimore, MD 21211-2524
Phone (443) 340-3671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21875 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Organizations & group practices 1
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": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1639846520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 BERRY ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112524",
"telephone_number": "443-340-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SAINT PAUL ST # 309",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022102",
"telephone_number": "443-449-5604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALY",
"first_name": "KATHLEEN",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-27",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "21875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Healthy Option Clinic
- Healthy Options People Experience Counseling LLC (HOPE Counseling LLC)
- Ersilia Marie Healy, CRNP
- Kaitlyn Elizabeth Healy, PHARMD
- Kara D Healy
- Monica Healy, PHARM.D.
- Emma Heaps
- Michael Thomas Heaps, CRNA
- Hear for You, Inc
- Hear Me Roar Speech Therapy, LLC (Hear Me Roar Speech Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.