Kathryn Marciniak, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

06957 Issued in MD

Practice address

1818 Pot Spring Rd Ste 100
Lutherville, MD 21093-4450

Phone

(410) 583-5765

NPI assigned

Dec 6, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Learning and Therapy Corner, LLC

  • Speech-Language Pathologist
  • Lutherville, MD
  • NPI 1376771592
  NPD
• A Sound Beginning, LLC

  • Speech-Language Pathologist
  • Ellicott City, MD
  • NPI 1639649056
  NPD (past)

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1902443138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 POT SPRING RD STE 100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934450",
            "telephone_number": "410-583-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 POT SPRING RD STE 100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934450",
            "telephone_number": "410-583-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINIAK",
        "first_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saroja Mallik, MD
• Jasmine Niquelle Manley, MD
• Charles Mann, D.M.D
• Annette Rossi Mannion, CPNP
• Paul Manson, M.D.
• Kayla Mardaga, NP-C
• Kacie Marenga, CRNP
• Spyridon Marinopoulos, M.D.
• Mitchel Markins, CRNA
• Valerie Tina Marks, LCSW-C

• Speech-Language Pathologist in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.