Active NPI
Nathanaelle Kareen Cantave, LCSW-C
- Clinical Social Worker
- Towson, MD
National Provider Identifier
1770845976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17168
- Practice address
- 6901 N Charles St
Towson, MD 21204-3780 - Phone
- (443) 809-4130
- NPI assigned
- Jun 13, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17168 | MD | Primary |
Addresses
Primary practice location
6901 N Charles St
Towson, MD 21204-3780
Mailing address
1643 Waverlye Way
Baltimore, MD 21239
Other practice location 1
6802 McClean Blvd
Baltimore, MD 21234-7260
Phone (203) 249-9277
Other practice location 2
320 E Towsontown Blvd Ste 2W
Towson, MD 21286
Phone (410) 296-2004
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17168 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore County Public Schools | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Towson, MD
- NPI 1326188509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1770845976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1643 WAVERLYE WAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 N CHARLES ST",
"city": "TOWSON",
"state": "MD",
"postal_code": "212043780",
"telephone_number": "443-809-4130"
}
],
"practiceLocations": [
{
"address_1": "6802 McClean Blvd",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212347260",
"country_code": "US",
"telephone_number": "203-249-9277",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "320 E Towsontown Blvd Ste 2W",
"address_purpose": "LOCATION",
"city": "Towson",
"state": "MD",
"postal_code": "21286",
"country_code": "US",
"telephone_number": "410-296-2004",
"fax_number": "410-296-0094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANTAVE",
"first_name": "NATHANAELLE",
"middle_name": "KAREEN",
"name_prefix": "Miss",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-13",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "17168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.