Individual provider Active NPI

Kelly Michelle Vahey, LCSW-C

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1700934007
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11308 Issued in MD
Practice address
200 E Joppa Rd
Suite 402
Towson, MD 21286-3150
Phone
(410) 494-0085
Fax
(410) 664-0683
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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 11308 MD Primary

Addresses

Primary practice location

200 E Joppa Rd
Suite 402
Towson, MD 21286-3150

Mailing address

8 Middle Woods CT
Parkton, MD 21120-8915
Phone (410) 494-0085

Other identifiers 5

IdentifierTypeStateIssuer
578063000OtherMDMAGELLAN MIS #
620491-03OtherMDCAREFIRST MD RENDERING #
QH98KMOtherMDCAREFIRST MD PROVIDER #
W945-0001OtherMDCAREFIRST GHMSI
401845100MedicaidMD

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
I20140204000319 MD Practitioner - Clinical Social Worker 5991934416 Reassigns benefits to 1 organization
Practice locations: Hunt Valley, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

54 Scott Adam Rd
Suite 108
Cockeysville, MD 21030-3351
Phone (410) 494-0085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11308MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Vahey LLC CurrentSince Jul 10, 2019 Accepting new patients

Locations

54 Scott Adam Rd
Ste 108
Cockeysville, MD 21030
Phone (410) 494-0085

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1700934007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MIDDLE WOODS CT",
            "city": "PARKTON",
            "state": "MD",
            "postal_code": "211208915",
            "telephone_number": "410-494-0085",
            "fax_number": "410-357-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E JOPPA RD",
            "address_2": "SUITE 402",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863150",
            "telephone_number": "410-494-0085",
            "fax_number": "410-664-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHEY",
        "first_name": "KELLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN MIS #",
            "identifier": "578063000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD RENDERING #",
            "identifier": "620491-03",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD PROVIDER #",
            "identifier": "QH98KM",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST GHMSI",
            "identifier": "W945-0001",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401845100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.