Kathy Ann Haerian, LCSW C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11582 Issued in MD

Practice address

744 Dulaney Valley Rd Ste 12
Towson, MD 21204-5132

Phone

(410) 245-1304

Fax

(443) 269-0206

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathy A Webster Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1679686422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 DULANEY VALLEY RD STE 12",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045132",
            "telephone_number": "410-245-1304",
            "fax_number": "443-269-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 DULANEY VALLEY RD STE 12",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045132",
            "telephone_number": "410-245-1304",
            "fax_number": "443-269-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAERIAN",
        "first_name": "KATHY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-05-13",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "WEBSTER",
            "middle_name": "A",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittney Hack, LCPC, NCC
• Jessica Hackmann, ED.S
• Tareq Kamal Haddad, DDS
• Jeannette Burke Hadfield, CRNP
• Mohammad Haerian-Ardekani, M.D.
• Christine Haeseler, OTR/L
• Dieasha Hagans
• Coleen Hager, PTA
• Charles A Haile, MD
• Jamal Henry-Nathaniel Hailey, MA

• Clinical Social Worker in Towson, MD
• Providers in Towson, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.