Active NPI
Mary Kane, LCSW-C
- Clinical Social Worker
- Owings Mills, MD
National Provider Identifier
1821234956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22462
- Practice address
- 10085 Red Run Blvd
Suite 306
Owings Mills, MD 21117-4836 - Phone
- (410) 581-7804
- Fax
- (410) 356-6507
- NPI assigned
- Dec 18, 2008
- 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 | 22462 | MD | Primary |
Addresses
Primary practice location
10085 Red Run Blvd
Suite 306
Owings Mills, MD 21117-4836
Mailing address
6501 N Charles St
Room D225
Baltimore, MD 21204-6819
Phone (410) 938-3464
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 |
|---|---|---|---|
| 22462 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1821234956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 N CHARLES ST",
"address_2": "ROOM D225",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046819",
"telephone_number": "410-938-3464",
"fax_number": "410-938-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10085 RED RUN BLVD",
"address_2": "SUITE 306",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174836",
"telephone_number": "410-581-7804",
"fax_number": "410-356-6507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "MARY",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-18",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "22462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.