Individual provider Active NPI

Kara-Sue Harriott, LCSWC

  • Clinical Social Worker
  • Crofton, MD
National Provider Identifier
1790133833
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21397 Issued in MD
Practice address
1662 Village GRN Ste 100
Crofton, MD 21114-2014
Phone
(410) 757-2077
Fax
(410) 721-2357
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21397 MD Primary

Addresses

Primary practice location

1662 Village GRN Ste 100
Crofton, MD 21114-2014

Mailing address

1511 Ritchie Hwy Ste 202
Arnold, MD 21012-2410
Phone (410) 757-2077

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

State licenses

LicenseStateTypeSpecialty
21397MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals LLC CurrentSince Jul 31, 2022 Accepting new patients
Curated Consciousness, LLC Social Worker Current Accepting new patients
Arundel Mental Health Professionals L.C. PastSince Feb 24, 2022 Accepting new patients

Locations

1511 Ritchie Hwy
Ste 202
Arnold, MD 21012
Phone (410) 757-5184

1662 Village Grn
Ste 100
Crofton, MD 21114

Organizations & group practices 3

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1790133833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 RITCHIE HWY STE 202",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122410",
            "telephone_number": "410-757-2077",
            "fax_number": "410-757-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 VILLAGE GRN STE 100",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142014",
            "telephone_number": "410-757-2077",
            "fax_number": "410-721-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIOTT",
        "first_name": "KARA-SUE",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.