Kathleen Traversari

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20595 Issued in MD

Practice address

100 Helfen Bein LN Ste 230a
Chester, MD 21619-2667

Phone

(410) 622-3202

Fax

(410) 820-5884

NPI assigned

Feb 17, 2017

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

• Kathleen Hesterberg Former name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shore Counseling, LLCGroup PAC ID 6901233766, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Shore Counseling, LLC

  • Mental Health Counselor
  • Chester, MD
  • NPI 1831741610
  Medicare reassignment Care Compare group NPD Authorized official
• For All Seasons, Inc.

  • Clinical Social Worker
  • Cambridge, MD
  • NPI 1871732693
  NPD (past)

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1760921241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HELFEN BEIN LN STE 230A",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192667",
            "telephone_number": "410-622-3202",
            "fax_number": "410-820-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HELFEN BEIN LN STE 230A",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192667",
            "telephone_number": "410-622-3202",
            "fax_number": "410-820-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERSARI",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "HESTERBERG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Stauffer
• Daniel Aaron Stockton, OTR/L
• Stephanie Swonger, LGPC
• The Children'S Choice of Maryland, Inc
• Stephanie Rose Tippett, NP-C
• Trusted Doctors LLC
• Umms Ambulatory Care LLC
• Veritas Dental Institute - Kent Island
• Walgreen Co
• Walgreen Co

• Clinical Social Worker in Chester, MD
• Providers in Chester, 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 Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.