Active NPI
Susan M Kulp, MSW
- Clinical Social Worker
- Silver Spring, MD
National Provider Identifier
1699822882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 04179
- Practice address
- 1015 Spring St
201
Silver Spring, MD 20910-4012 - Phone
- (301) 587-5575
- NPI assigned
- Jan 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 04179 | MD | Primary |
| Clinical Social Worker | 1041C0700X | LC300696 | DC |
Addresses
Primary practice location
1015 Spring St
201
Silver Spring, MD 20910-4012
Mailing address
1015 Spring St
201
Silver Spring, MD 20910-4012
Phone (301) 587-5575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001007 | Other | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC300696 | DC | MD | Clinical Social Worker |
| 04179 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699822882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 SPRING ST",
"address_2": "201",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209104012",
"telephone_number": "301-587-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 SPRING ST",
"address_2": "201",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209104012",
"telephone_number": "301-587-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULP",
"first_name": "SUSAN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "04179",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC300696",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "001007",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.