Katie L Abdalla
Individual provider Active NPI Social Worker · Easton, MD
NPI 1891298063 · NPPES record last updated Mar 14, 2018
Key facts
- NPI
- 1891298063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 23427 (MD)
- Practice address
- 300 Talbot St
Easton, MD 21601-3525 - Phone
- (410) 822-1018
- NPI assigned
- Mar 14, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Chesapeake Bay Psychological Services LLC
Practice addresses (Care Compare)
155 Log Canoe Cir
Stevensville, MD 21666-2127
Phone (410) 604-0226
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200825000079 | MD | Practitioner - Clinical Social Worker | 9537586490 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23427 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Bay Psychological Services LLC | Current |
Accepting new patients | |
| Katie Abdalla | Current |
Accepting new patients | |
| For All Seasons, Inc. | Past | Accepting new patients |
Locations
155 Log Canoe Cir
Stevensville, MD 21666
Phone (410) 604-0226
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 23427 | MD | Yes |
Addresses
Primary practice location
300 Talbot St
Easton, MD 21601-3525
Mailing address
300 Talbot St
Easton, MD 21601-3525
Phone (410) 822-1018
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 367255700 | Medicaid | MD |
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.