Active NPI
Kristen Beall, LCSW-C ICGC-I CAC-AD
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1760108237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18654
- Practice address
- 2606 Gage CT Apt E
Baltimore, MD 21209-3252 - Phone
- (443) 687-6522
- NPI assigned
- Oct 17, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AC1524 | MD | |
| Clinical Social Worker | 1041C0700X | 18654 | MD | Primary |
Addresses
Primary practice location
2606 Gage CT Apt E
Baltimore, MD 21209-3252
Mailing address
2606 Gage CT Apt E
Baltimore, MD 21209-3252
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC1524 | MD | MD | Addiction (Substance Use Disorder) Counselor |
| 18654 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1760108237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 GAGE CT APT E",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2606 GAGE CT APT E",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093252",
"telephone_number": "443-687-6522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEALL",
"first_name": "KRISTEN",
"credential": "LCSW-C ICGC-I CAC-AD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "AC1524",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "18654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.