Wendy R Kaufman, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MD 09564 Issued in MD

Practice address

616 Charles St
Suite 106
La Plata, MD 20646-5937

Phone

(301) 753-8306

Fax

(301) 753-4991

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hiland & Associates, P.C.

  • Clinical Psychologist
  • La Plata, MD
  • NPI 1972660199
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972609634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206460955",
            "telephone_number": "301-753-8306",
            "fax_number": "301-754-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 CHARLES ST",
            "address_2": "SUITE 106",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465937",
            "telephone_number": "301-753-8306",
            "fax_number": "301-753-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "WENDY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "MD 09564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "127510",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M.D.IPA",
            "identifier": "279526",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "218464",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "322217",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MARYLAND",
            "identifier": "K103HI",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "150803",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2042905",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trellis N. Jones, EDD
• Timothy Vettiyanickal Joseph, MD
• Sneharika Kadiam, LGPC
• Vladimir Kakitelashvili, M.D.
• Getinet A Kassa, M.D.
• Steven Keller, COTA
• Lynn Greene Kennedy
• KHC Group PC
• Sharon Khoo, M.S. CCC/SLP
• Min Jung Kim, DDS

• Clinical Social Worker in La Plata, MD
• Providers in La Plata, 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 Jul 8, 2007; 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.