Individual provider Active NPI

Kathy D Moran, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1922772417
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05271 Issued in MD
Practice address
4800 Roland Ave Ste 300
Baltimore, MD 21210-2347
Phone
(443) 691-4131
NPI assigned
Aug 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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 05271 MD Primary

Addresses

Primary practice location

4800 Roland Ave Ste 300
Baltimore, MD 21210-2347

Mailing address

7407 Knollwood Rd
Towson, MD 21286-7928
Phone (443) 691-4131

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
I20220316001557 MD Practitioner - Clinical Social Worker 1355736075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stone Soup Counseling LLCGroup PAC ID 9032538137, 11 clinicians

Practice addresses (Care Compare)

2 Hamill Rd
Suite 332
Baltimore, MD 21210-1813
Phone (443) 266-2270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Soup Counseling, LLC Clinical CurrentSince Apr 1, 2022 Accepting new patients
Stone Soup Counseling, LLC Clinical CurrentSince Apr 1, 2022 Accepting new patients

Locations

4800 Roland Ave
Ste 300
Baltimore, MD 21210
Phone (410) 804-1738

2 Hamill Rd
Ste 332
Baltimore, MD 21210
Phone (443) 226-2270

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": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1922772417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7407 KNOLLWOOD RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212867928",
            "telephone_number": "443-691-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 ROLAND AVE STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102347",
            "telephone_number": "443-691-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "KATHY",
        "middle_name": "D",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.