Individual provider Active NPI

Emily Georgeann Hall, LCSW-C

  • Clinical Social Worker
  • Nottingham, MD
National Provider Identifier
1922357508
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17324 Issued in MD
Practice address
9534 Belair Rd
Nottingham, MD 21236-1508
Phone
(443) 216-4800
Fax
(443) 216-4801
NPI assigned
Aug 29, 2012
Last updated
Feb 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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 17324 MD Primary

Addresses

Primary practice location

9534 Belair Rd
Nottingham, MD 21236-1508

Mailing address

5407 N Charles St
Baltimore, MD 21210-2024
Phone (410) 433-8861

Other names 1

  • Emily Georgeann Keck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17324MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1922357508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102024",
            "telephone_number": "410-433-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9534 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361508",
            "telephone_number": "443-216-4800",
            "fax_number": "443-216-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "EMILY",
        "middle_name": "GEORGEANN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "KECK",
            "middle_name": "GEORGEANN",
            "credential": "LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.