Individual provider Active NPI

Enid L. McKitrick, LICSW

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1780875591
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC3000824 Issued in DC
Practice address
8001 Boulder Ridge Way
Gaithersburg, MD 20879-5636
Phone
(202) 429-9449
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC3000824 DC Primary
Clinical Social Worker 1041C0700X 08309 MD

Addresses

Primary practice location

8001 Boulder Ridge Way
Gaithersburg, MD 20879-5636

Mailing address

8001 Boulder Ridge Way
Gaithersburg, MD 20879-5636
Phone (202) 429-9449

Other identifiers 2

IdentifierTypeStateIssuer
0607OtherDCCAREFIRST
0607OtherMDCAREFIRST

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241212000769 MD Practitioner - Clinical Social Worker 6608302757 Practice locations: Easton, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

116 Goldsborough St
Apt 1
Easton, MD 21601-3163
Phone (301) 706-6180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC3000824DCMDClinical Social Worker
08309MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1780875591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 BOULDER RIDGE WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208795636",
            "telephone_number": "202-429-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 BOULDER RIDGE WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208795636",
            "telephone_number": "202-429-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKITRICK",
        "first_name": "ENID",
        "middle_name": "L.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC3000824",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08309",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "0607",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "0607",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.