Katie L Abdalla

Primary specialty

Social WorkerTaxonomy code 104100000X

License

23427 Issued in MD

Practice address

300 Talbot St
Easton, MD 21601-3525

Phone

(410) 822-1018

NPI assigned

Mar 14, 2018

Last updated

Mar 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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 LLCGroup PAC ID 3274710512, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chesapeake Bay Psychological Services LLC

  • Psychologist
  • Stevensville, MD
  • NPI 1003938846
  Medicare reassignment Care Compare group NPD
• Katie Abdalla

  • Community/Behavioral Health Agency
  • Grasonville, MD
  • NPI 1679395602
  NPD Authorized official
• For All Seasons, Inc.

  • Clinical Social Worker
  • Cambridge, MD
  • NPI 1871732693
  NPD (past)

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1891298063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TALBOT ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013525",
            "telephone_number": "410-822-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TALBOT ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013525",
            "telephone_number": "410-822-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLA",
        "first_name": "KATIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "23427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC (Harris Teeter Pharmacy #0380)
• 610 Dutchmans Lane Operations LLC (The Pines)
• 610 Dutchmans Lane Operations LLC (The Pines)
• A & C Compassionate Care LLC
• Sarah A Aaron, MA
• Yara Abdelaal, DO
• Hamza M. Abdulla, M.D.
• Sozdar Abed, MD
• Jorge Horacio Abrego-Garcia, M.D.
• Absolute Innovations

• Social Worker in Easton, MD
• Providers in Easton, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.