Individual provider Active NPI

Kenneth Truitt, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1912110735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05434 Issued in MD
Practice address
7222 Ambassador Rd
Baltimore, MD 21244-2709
Phone
(410) 265-1490
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 05434 MD Primary

Addresses

Primary practice location

7222 Ambassador Rd
Baltimore, MD 21244-2709

Mailing address

6344 Burnt Mountain Path
Columbia, MD 21045-7404
Phone (410) 312-1598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meeting the Need CurrentSince May 1, 2024 Accepting new patients
National Center on Institutions & Alternatives Clinical Past Accepting new patients

Locations

300 E Lombard St
Ste 840
Baltimore, MD 21202
Phone (443) 455-9308

Organizations & group practices 2

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912110735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 BURNT MOUNTAIN PATH",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210457404",
            "telephone_number": "410-312-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7222 AMBASSADOR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442709",
            "telephone_number": "410-265-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUITT",
        "first_name": "KENNETH",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.