Individual provider Active NPI

Katherine Dreyer Forsyth, LCSW-C

  • Clinical Social Worker
  • Lutherville, MD
National Provider Identifier
1972135002
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17015 Issued in MD
Practice address
101 W Ridgely Rd Ste 3
Lutherville, MD 21093-5101
Phone
(410) 834-5734
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 17015 MD Primary

Addresses

Primary practice location

101 W Ridgely Rd Ste 3
Lutherville, MD 21093-5101

Mailing address

10 Oak Tree CT
Lutherville Timonium, MD 21093-4020
Phone (410) 236-6533

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
I20200416000029 MD Practitioner - Clinical Social Worker 5395175368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oak Tree Counseling CenterGroup PAC ID 2961836150, 4 clinicians

Practice addresses (Care Compare)

101 W Ridgely Rd
Suite 3a
Lutherville, MD 21093-5147
Phone (410) 834-5734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Tree Counseling Center Clinical CurrentSince Feb 28, 2020 Accepting new patients

Locations

101 W Ridgely Rd
Ste 3A
Lutherville, MD 21093
Phone (410) 834-5734

Organizations & group practices 1

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1972135002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OAK TREE CT",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934020",
            "telephone_number": "410-236-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W RIDGELY RD STE 3",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935101",
            "telephone_number": "410-834-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTH",
        "first_name": "KATHERINE",
        "middle_name": "DREYER",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.