Kimberly Tugya, LCSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12082 Issued in MD

Practice address

200 E North Ave
Baltimore, MD 21202-4888

Phone

(443) 910-0854

NPI assigned

May 1, 2009

Last updated

Oct 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Destilee Health Care

  • Clinical Social Worker
  • Randallstown, MD
  • NPI 1457582900
  NPD (past)

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1720222946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 IRWINS CHOICE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142507",
            "telephone_number": "443-910-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E NORTH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024888",
            "telephone_number": "443-910-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUGYA",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuerk House, Inc.
• Tuerk House, Inc.
• Tuerk House, Inc.
• Megan M Tuffaha, CRNP
• Tonya Denise Tuggle, MD
• Cathryn Tulastono, COTA/L
• Rima Tulbah
• Matthew Robert Tulis, M.D.
• Tykisha Tull, LMSW
• Meghan Liana Tullos, PTA

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, 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 Oct 13, 2023; 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.