Individual provider Active NPI

Katina Monique Pearce, LCSW-C

  • Social Worker
  • Owings Mills, MD
National Provider Identifier
1710215587
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
15640 Issued in MD
Practice address
110 Painters Mill Rd Ste 213
Owings Mills, MD 21117-5543
Phone
(443) 675-6769
NPI assigned
Dec 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 15640 MD Primary

Addresses

Primary practice location

110 Painters Mill Rd Ste 213
Owings Mills, MD 21117-5543

Mailing address

1207 62ND St
Rosedale, MD 21237-2501
Phone (443) 386-9977

Other practice location 1

6901 N Charles St
Towson, MD 21204-3780
Phone (443) 386-9977

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore County Public Schools CurrentSince Oct 31, 2021 Accepting new patients
Baltimore County Deparment of Health Past Accepting new patients

Locations

6901 N Charles St
Towson, MD 21204
Phone (443) 809-4130

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": "1260057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1710215587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 62ND ST",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372501",
            "telephone_number": "443-386-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 213",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175543",
            "telephone_number": "443-675-6769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212043780",
            "country_code": "US",
            "telephone_number": "443-386-9977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "KATINA",
        "middle_name": "MONIQUE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-06",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "15640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.