Individual provider Active NPI

Jessica Elizabeth Luty-Kabrhel, LCSW-C

  • Clinical Social Worker
  • Eldersburg, MD
National Provider Identifier
1871783621
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13941 Issued in MD
Practice address
6849 Littlewood Court
Eldersburg, MD 21784
Phone
(410) 209-0455
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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 13941 MD Primary

Addresses

Primary practice location

6849 Littlewood Court
Eldersburg, MD 21784

Mailing address

6849 Littlewood Court
Eldersburg, MD 21784
Phone (410) 209-0455

Other names 1

  • Jessica Luty Kabrhel Former name

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
I20240117001097 MD Practitioner - Clinical Social Worker 0941395867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Ridge Counseling Centers, LLCGroup PAC ID 4981649738, 44 clinicians

Practice addresses (Care Compare)

1311 Londontown Blvd
Suite 130a
Eldersburg, MD 21784-6439
Phone (410) 552-0773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13941MDMDClinical Social Worker
5690NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Ridge Counseling Centers LLC CurrentSince Dec 5, 2023 Accepting new patients

Locations

1311 Londontown Blvd
Ste 130A
Sykesville, MD 21784
Phone (410) 356-9208

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1871783621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 LITTLEWOOD COURT",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "21784",
            "telephone_number": "410-209-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 LITTLEWOOD COURT",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "21784",
            "telephone_number": "410-209-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTY-KABRHEL",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KABRHEL",
            "middle_name": "LUTY",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eldersburg, MD

Sources for this page

Verify at the official NPI Registry.