Individual provider Active NPI

Kathleen Ann Roberts, LMSW

  • Clinical Social Worker
  • Bel Air, MD
National Provider Identifier
1699434514
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26108 Issued in MD
Practice address
4C North Ave Ste 423
Bel Air, MD 21014-2334
Phone
(410) 449-4955
NPI assigned
Dec 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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 26108 MD Primary

Addresses

Primary practice location

4C North Ave Ste 423
Bel Air, MD 21014-2334

Mailing address

4C North Ave Ste 423
Bel Air, MD 21014-2334
Phone (410) 449-4955

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
I20240617000389 MD Practitioner - Clinical Social Worker 9436692621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pivot Point Counseling, LLCGroup PAC ID 2567739170, 11 clinicians

Practice addresses (Care Compare)

4 C N Ave
Suite 423
Bel Air, MD 21014-2334
Phone (410) 449-4955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Point Counseling, LLC Clinical CurrentSince Jun 7, 2024 Accepting new patients
Stover & Owsley, LLC CurrentSince Jun 7, 2024 Accepting new patients

Locations

4C North Ave
Ste 423
Bel Air, MD 21014
Phone (410) 449-4955

1220 E Joppa Rd
#B
Towson, MD 21286
Phone (410) 343-9442

Organizations & group practices 2

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": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1699434514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE STE 423",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142334",
            "telephone_number": "410-449-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE STE 423",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142334",
            "telephone_number": "410-449-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.