Catherine Kellogg, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05556 Issued in MD

Practice address

3175 W Ward Rd
200
Dunkirk, MD 20754-3020

Phone

(410) 286-0664

Fax

(410) 286-2834

NPI assigned

May 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Catherine Blair Former name

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

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Andrew T Gergely, MD and Associates, LLC 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Andrew T Gergely, MD & Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dunkirk, MD
  • NPI 1033134341

  MD

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1962939645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 W WARD RD",
            "address_2": "200",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543020",
            "telephone_number": "410-286-0664",
            "fax_number": "410-286-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 W WARD RD",
            "address_2": "200",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543020",
            "telephone_number": "410-286-0664",
            "fax_number": "410-286-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "CATHERINE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "BLAIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jose Carlos Juambeltz, DDS
• Angele Pedie Kamdem, PHARM D
• Hannah Kamsheh, LGPC
• Patricia Ann Kane, F.N.P.-C.
• Brendan James Christopher Keena, PT, DPT
• Omid Kiarash, DMD, MSD
• Clay Hakmin Kim, DDS, MD
• John Jong Kim, RPH
• Troy Jonathan Kraft, PT
• Amanda Elizabeth Kressin

• All providers in Dunkirk, MD
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.