Active NPI
Caitlyn McSorley
- Social Worker
- Baltimore, MD
National Provider Identifier
1790386308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 22718
- Practice address
- 4502 Schenley Rd # 100a
Baltimore, MD 21210-2524 - Phone
- (443) 308-3032
- NPI assigned
- Nov 2, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 22718 | MD | |
| Clinical Social Worker | 1041C0700X | 22718 | MD | |
| Social Worker | 104100000X | 22718 | MD | Primary |
Addresses
Primary practice location
4502 Schenley Rd # 100a
Baltimore, MD 21210-2524
Mailing address
4502 Schenley Rd # 100a
Baltimore, MD 21210-2524
Phone (443) 308-3032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22718 | Other | ASWB |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | contactus@lolasvillage.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22718 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1790386308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 SCHENLEY RD # 100A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102524",
"telephone_number": "443-308-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 SCHENLEY RD # 100A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102524",
"telephone_number": "443-308-3032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSORLEY",
"first_name": "CAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "22718",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "22718",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "22718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASWB",
"identifier": "22718",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "contactus@lolasvillage.com",
"affiliation": "N",
"endpointDescription": "E-mail address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4502 Schenley Rd # 100A",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212102524",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.