Kaycie Sabelhaus-Thompson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

26834 Issued in MD

Practice address

919 Back River Neck Rd
Essex, MD 21221-1923

Phone

(443) 596-8178

NPI assigned

Jun 1, 2022

Last updated

Jun 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Tidemark Intervention Services

  • Counselor
  • Baltimore, MD
  • NPI 1437818770
  NPD (past)
• Tidemark Intervention Services

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1720595242
  NPD (past)

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1760121446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 PARK VIEW DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454924",
            "telephone_number": "812-319-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 BACK RIVER NECK RD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212211923",
            "telephone_number": "443-596-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABELHAUS-THOMPSON",
        "first_name": "KAYCIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "26834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CROSS BLUE SHIELD",
            "identifier": "FG84000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5862732",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@tidemarkinterventions.com",
            "affiliation": "N",
            "endpointDescription": "Tidemark",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "919 Back River Neck Rd",
            "city": "Essex",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212211923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Social Worker in Essex, MD
• Providers in Essex, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.