Sherry Kizielewicz, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19961 Issued in MD

Practice address

1212 N Wolfe St
Baltimore, MD 21213-3303

Phone

(410) 732-2661

Fax

(410) 732-0849

NPI assigned

Aug 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sherry Funke Other name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Harford Crisis Center, Inc.

  • Psychiatry Physician
  • Bel Air, MD
  • NPI 1508334459
  Medicare reassignment NPD

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1801296686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133303",
            "telephone_number": "410-732-2661",
            "fax_number": "410-732-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZIELEWICZ",
        "first_name": "SHERRY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "FUNKE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Marie Kitue, CNM, WHNP-BC
• Kiumarce Kashi MD PC (baltimore sleep and wellness center)
• Nada Kiwan, M.D.
• Zainab Kiyam, MD
• Dmitry E. Kiyatkin, M.D.
• Michelle Therese Kladakis, MD
• Klaff Sports Physical Therapy, Inc
• Adam S Klaff, PTA
• Michael Klag, M.D.
• Alissa Klammer, MD

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, 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 Jul 11, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.