Individual provider Active NPI

Keyera Simon, LCSW-C

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1942710835
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
22889 Issued in MD
Practice address
1900 N Howard St
Baltimore, MD 21218-5909
Phone
(443) 438-6742
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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 22889 MD Primary

Addresses

Primary practice location

1900 N Howard St
Baltimore, MD 21218-5909

Mailing address

PO Box 19213
Baltimore, MD 21213-0213

Other practice location 1

1301 York Rd Ste 800
PMB 1062
Baltimore, MD 21093
Phone (443) 525-2877

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
I20231204001945 MD Practitioner - Clinical Social Worker 2062861404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3742 Bonview Ave
Baltimore, MD 21213-2011
Phone (443) 525-2877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22889MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Navigating With Purpose Health and Wellness LLC CurrentSince Nov 1, 2023 Accepting new patients
Aram Therapy PastSince Jan 21, 2024 Accepting new patients

Locations

1301 York Rd
Ste 800
Timonium, MD 21093
Phone (410) 376-8728

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": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1942710835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19213",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212130213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N HOWARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185909",
            "telephone_number": "443-438-6742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 York Rd Ste 800",
            "address_2": "PMB 1062",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21093",
            "country_code": "US",
            "telephone_number": "443-525-2877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "KEYERA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.