Kelly Dacunha, MSW, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15603 Issued in MD

Practice address

1300 York Rd Ste 200
Lutherville, MD 21093-6090

Phone

(410) 498-7624

NPI assigned

Dec 22, 2017

Last updated

Jul 29, 2024By 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

Other names 1

• Kelly Vandenhengel Former name

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.

• Enrichment Endeavors, LLC

  • Clinical Social Worker
  • Towson, MD
  • NPI 1164939385
  NPD Authorized official

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1750897088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 OLD HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342659",
            "telephone_number": "443-750-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936090",
            "telephone_number": "410-498-7624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9114 Old Harford Rd",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MD",
            "postal_code": "212342659",
            "country_code": "US",
            "telephone_number": "443-750-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACUNHA",
        "first_name": "KELLY",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "VANDENHENGEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Karli Cuomo, ANP-C
• Anna Curren
• Current Dermatology and Cosmetic Center of Baltimore County, LLC
• Gary A Curtis, PHD
• Lisa D'Antonio, LCSW-C
• Holly Ryerson Dahlman, M.D.
• Allison Grace Dale, PT, DPT
• Robert Davenport II, PTA
• David a Gordon PC
• David Buchholz, M.D., P.a.

• Clinical Social Worker in Lutherville, MD
• Providers in Lutherville, 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 Jul 29, 2024; 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.