Individual provider Active NPI

Kelly Farrish, LCSW-C

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1649946849
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24896 Issued in MD
Practice address
604 Solarex CT Unit 105
Frederick, MD 21703-8678
Phone
(443) 761-5089
NPI assigned
Aug 18, 2021
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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 24896 MD Primary

Addresses

Primary practice location

604 Solarex CT Unit 105
Frederick, MD 21703-8678

Mailing address

604 Solarex CT Unit 105
Frederick, MD 21703-8678
Phone (443) 761-5089

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
I20211104000403 MD Practitioner - Clinical Social Worker 9133517592 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24896MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Way Station, Inc. Current Accepting new patients
Mosaic Community Services, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Mosaic Community Services, Inc CurrentSince Jul 1, 2022 Accepting new patients
Family Services, Inc CurrentSince Dec 8, 2024 Accepting new patients
Family Services, Inc. CurrentSince Dec 8, 2024 Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

219 W Patrick St
#A
Frederick, MD 21701
Phone (301) 662-3223

604 Solarex Ct
Unit 201
Frederick, MD 21703
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

1931 Greenspring Dr
Timonium, MD 21093
Phone (410) 938-3464

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1649946849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 SOLAREX CT UNIT 105",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038678",
            "telephone_number": "443-761-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SOLAREX CT UNIT 105",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038678",
            "telephone_number": "443-761-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRISH",
        "first_name": "KELLY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.