Individual provider Active NPI

Katelyn Trentalange, LCSW-C

  • Social Worker
  • Bel Air, MD
National Provider Identifier
1922418680
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
16625 Issued in MD
Practice address
4C North Ave Ste 423
Bel Air, MD 21014-2334
Phone
(410) 449-4955
Fax
(443) 787-0306
NPI assigned
May 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 16625 MD Primary

Addresses

Primary practice location

4C North Ave Ste 423
Bel Air, MD 21014-2334

Mailing address

4C North Ave Ste 423
Bel Air, MD 21014-2334
Phone (410) 449-4955

Other practice location 1

1220 E Joppa Rd Bldg B
Towson, MD 21286-5811
Phone (410) 449-4955

Other names 1

  • Katelyn Raab Former name

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
I20170522000775 MD Practitioner - Clinical Social Worker 8820365430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pivot Point Counseling, LLCGroup PAC ID 2567739170, 11 clinicians

Practice addresses (Care Compare)

4 C N Ave
Suite 423
Bel Air, MD 21014-2334
Phone (410) 449-4955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16625MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Point Counseling, LLC CurrentSince Jun 1, 2017 Accepting new patients
Stover & Owsley, LLC CurrentSince Apr 3, 2022 Accepting new patients

Locations

4C North Ave
Ste 423
Bel Air, MD 21014
Phone (410) 449-4955

754 N Hickory Ave
Ste D
Bel Air, MD 21014
Phone (410) 881-2800

1220 E Joppa Rd
#B
Towson, MD 21286
Phone (410) 343-9442

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": "1399161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1922418680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE STE 423",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142334",
            "telephone_number": "410-449-4955",
            "fax_number": "443-787-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE STE 423",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142334",
            "telephone_number": "410-449-4955",
            "fax_number": "443-787-0306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 E Joppa Rd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212865811",
            "country_code": "US",
            "telephone_number": "410-449-4955",
            "fax_number": "443-787-0306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRENTALANGE",
        "first_name": "KATELYN",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-04",
        "last_updated": "2023-05-11",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "16625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "RAAB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.