Active NPI
Kelly E Hukmani, LCSW-C
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1649597873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13023
- Practice address
- 10451 Twin Rivers Rd
Suite 100
Columbia, MD 21044-2388 - Phone
- (410) 997-3557
- Fax
- (410) 964-1791
- NPI assigned
- Apr 28, 2010
- Last updated
- Feb 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 13023 | MD | Primary |
Addresses
Primary practice location
10451 Twin Rivers Rd
Suite 100
Columbia, MD 21044-2388
Mailing address
10451 Twin Rivers Rd
Ste 100
Columbia, MD 21044-2332
Phone (410) 366-1980
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100143783 | Other | APS HEALTHCARE | |
| 238486 | Other | JHHC | |
| 966369-01 | Other | MD | CAREFIRST (MD #) |
| 294213 | Other | KAISER PERMANENTE | |
| 031318100 | Medicaid | MD | |
| T541-0112 | Other | MD | CAREFIRST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13023 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1649597873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10451 TWIN RIVERS RD",
"address_2": "STE 100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442332",
"telephone_number": "410-366-1980",
"fax_number": "410-366-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10451 TWIN RIVERS RD",
"address_2": "SUITE 100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442388",
"telephone_number": "410-997-3557",
"fax_number": "410-964-1791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUKMANI",
"first_name": "KELLY",
"middle_name": "E",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-28",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "13023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS HEALTHCARE",
"identifier": "100143783",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JHHC",
"identifier": "238486",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST (MD #)",
"identifier": "966369-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "294213",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031318100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "T541-0112",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.