Individual provider Active NPI

Kumba Baryoh, LCSW-C

  • Clinical Social Worker
  • Upper Marlboro, MD
National Provider Identifier
1902552904
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17908 Issued in MD
Practice address
10115 Prince PL Apt 202
Upper Marlboro, MD 20774-1105
Phone
(240) 461-5257
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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 17908 MD Primary

Addresses

Primary practice location

10115 Prince PL Apt 202
Upper Marlboro, MD 20774-1105

Mailing address

10115 Prince PL Apt 202
Upper Marlboro, MD 20774-1105
Phone (240) 461-5257

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
I20220624001096 MD Practitioner - Clinical Social Worker 1850770611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Multi Medical Services IncGroup PAC ID 5991124687, 3 clinicians

Practice addresses (Care Compare)

200 N Philadelphia Blvd
Suite a
Aberdeen, MD 21001-2568
Phone (443) 530-3182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Multi Medical Services Inc CurrentSince Jun 1, 2022 Accepting new patients

Locations

200 N Philadelphia Blvd
Ste A
Aberdeen, MD 21001
Phone (443) 327-6212

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1902552904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 PRINCE PL APT 202",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741105",
            "telephone_number": "240-461-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 PRINCE PL APT 202",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741105",
            "telephone_number": "240-461-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARYOH",
        "first_name": "KUMBA",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.