Individual provider Active NPI

Kayla Schochet, LICSW, LCSW, LCADC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1669864070
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03011 Issued in RI
Practice address
6005 Stuart Ave
Baltimore, MD 21209-4019
Phone
(917) 371-9699
NPI assigned
Feb 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP00807 RI
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00227500 NJ
Clinical Social Worker 1041C0700X 44SC05715500 NJ
Clinical Social Worker 1041C0700X ISW03011 RI Primary

Addresses

Primary practice location

6005 Stuart Ave
Baltimore, MD 21209-4019

Mailing address

6005 Stuart Ave
Baltimore, MD 21209-4019
Phone (917) 371-9699

Other names 1

  • Kayla Bursztyn Former name

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
I20241115004076 MD Practitioner - Clinical Social Worker 6507288768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00227500NJMDAddiction (Substance Use Disorder) Counselor
CDP00807RIMDAddiction (Substance Use Disorder) Counselor
44SC05715500NJMDClinical Social Worker
ISW03011RIMDClinical Social Worker
29897MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Therapy Services of Maryland, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

3655A Old Court Rd
Ste 123
Pikesville, MD 21208
Phone (410) 630-9064

3655A Old Court Rd
Ste A
Pikesville, MD 21208

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": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1669864070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 STUART AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094019",
            "telephone_number": "917-371-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 STUART AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094019",
            "telephone_number": "917-371-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOCHET",
        "first_name": "KAYLA",
        "name_prefix": "Ms.",
        "credential": "LICSW, LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-21",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00807",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00227500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05715500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "BURSZTYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.