Active NPI
Katelynn Mae Liptak, LCSW-C
- Social Worker
- Prince Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 21853
- Practice address
- 975 Solomons Island Rd N
Prince Frederick, MD 20678-3917 - Phone
- (410) 535-5400
- NPI assigned
- Apr 19, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 21853 | MD | Primary |
Addresses
Primary practice location
975 Solomons Island Rd N
Prince Frederick, MD 20678-3917
Mailing address
975 N. Solomons Island Rd.
Prince Frederick, MD 20678-9557
Phone (410) 535-5400
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211025003282 | MD | Practitioner - Clinical Social Worker | 1850789801 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Calvert County Health Department
Practice addresses (Care Compare)
975 Solomons Island Rd N
Suite 119
Prince Frederick, MD 20678-0980
Phone 4105355400329
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Psychiatric Services LLC | Current | Accepting new patients | |
| Calvert County Health Department | Current | Accepting new patients | |
| Advantage Psychiatric Services LLC | Current | Accepting new patients | |
| Calvert County Health Department | Current | Accepting new patients |
Locations
306 W Pulaski Hwy
Elkton, MD 21921
Phone 4106863629 ext. 417
910 Revolution St
Hvre de Grace, MD 21078
Phone (410) 919-9665
5024 Campbell Blvd
Ste A
Nottingham, MD 21236
Phone 4106863629110
280 Stafford Rd
Prince Frederick, MD 20678
Phone (410) 535-3079
493 Main St
Prince Frederick, MD 20678
Phone 4106863629601
975 Solomons Island Rd N
Prnc Frederck, MD 20678
Phone (410) 535-5400
975 Solomons Island Rd N
Ste 119
Prnc Frederck, MD 20678
Phone (410) 535-5400
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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Prince Frederick, MD
- NPI 1609137918
MD
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkton, MD
- NPI 1548742554
MD
-
- Community Health Clinic/Center
- Prince Frederick, MD
- NPI 1740848423
-
- Clinic/Center
- Havre de Grace, MD
- NPI 1700515236
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lusby, MD
- NPI 1346891025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1659868271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 N. SOLOMONS ISLAND RD.",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206789557",
"telephone_number": "410-535-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 SOLOMONS ISLAND RD N",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783917",
"telephone_number": "410-535-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPTAK",
"first_name": "KATELYNN",
"middle_name": "MAE",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-19",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "21853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.