Individual provider Active NPI

Kelsey O'Donnell, LCSW-C

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1932684362
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21548 Issued in MD
Practice address
8945 N Westland Dr
Gaithersburg, MD 20877-1249
Phone
(301) 330-0006
NPI assigned
Oct 2, 2018
Last updated
Oct 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 21548 MD Primary

Addresses

Primary practice location

8945 N Westland Dr
Gaithersburg, MD 20877-1249

Mailing address

1801 Chapman Ave Apt 393
Rockville, MD 20852-5667
Phone (240) 997-5202

Other practice location 1

8945 N Westland Dr
Gaithersburg, MD 20877-1249
Phone (301) 330-0006

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
21548MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1932684362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CHAPMAN AVE APT 393",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208525667",
            "telephone_number": "240-997-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 N WESTLAND DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771249",
            "telephone_number": "301-330-0006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8945 N Westland Dr",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208771249",
            "country_code": "US",
            "telephone_number": "301-330-0006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "KELSEY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.