Kelly B Pillard, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27925 Issued in MD

Practice address

2528 Mountain Rd Ste 104
Pasadena, MD 21122-7202

Phone

(443) 548-3733

Fax

(410) 360-1675

NPI assigned

Nov 14, 2022

Last updated

Nov 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1962110452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 MOUNTAIN RD STE 204",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227204",
            "telephone_number": "443-548-3733",
            "fax_number": "410-360-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 MOUNTAIN RD STE 104",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227202",
            "telephone_number": "443-548-3733",
            "fax_number": "410-360-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLARD",
        "first_name": "KELLY",
        "middle_name": "B",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "C4308",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Petty
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• Trang M Pham, M.D.
• Physiotherapy Associates Inc (NovaCare Rehabilitation)
• Dakota Beau Pierce, PA-C
• Jayla Kristen Pinkney
• Sarah Monk Plank, OT
• Emily Ann Plummer
• Elizabeth Popovich-Scott
• Ashley K Powell, LCSW-C

• Clinical Social Worker in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.