Active NPI
Kendall Zacker, MS
- Social Worker
- Pasadena, MD
National Provider Identifier
1760199798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 29332
- Practice address
- 3100F Mountain Rd
Pasadena, MD 21122 - Phone
- (410) 841-9647
- NPI assigned
- Oct 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 29332 | MD | Primary |
Addresses
Primary practice location
3100F Mountain Rd
Pasadena, MD 21122
Mailing address
1695 Brickhouse Bar CT
Annapolis, MD 21401-6514
Phone (443) 433-8116
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29332 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Stone Counseling LLC | Social Worker | Current | Accepting new patients |
Locations
3100F Mountain Rd
Pasadena, MD 21122
Phone (410) 841-9647
Organizations & group practices 1
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": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700697600000",
"number": "1760199798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 BRICKHOUSE BAR CT",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214016514",
"telephone_number": "443-433-8116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100F MOUNTAIN RD",
"city": "PASADENA",
"state": "MD",
"postal_code": "21122",
"telephone_number": "410-841-9647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACKER",
"first_name": "KENDALL",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2023-11-23",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "29332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.